TITLE:
Eclampsia: Epidemiological Aspects and Maternal and Foetal Prognosis at the University Teaching Hospital Centre (UTH) of Bouake
AUTHORS:
Samaké Yaya, Menin-Messou Benie Michele, Djanhan Lydie Estelle, Akanji Iburaima Alamun, M’bro Clausen Georgie, Kouadio Kouadio Narcisse, Boko Dagoun Dagbesse Elysee, Camara Sokhona, Soro Dorcas Wassoholo, Gadji Claudia Michelle, Diakité Imourana Aminata, Yebouet N’Zibla Marie Ange, Daho Aboudramane, Doumbia Yacouba
KEYWORDS:
Maternal-Foetal Prognosis, Eclampsia, Bouaké
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.9,
September
11,
2023
ABSTRACT: Objective: To determine the epidemiology and maternal-fetal prognosis of eclampsia
at Bouaké University Teaching Hospital. Material and Methods: This was a
prospective study with descriptive and analytical aims over a period from 01
January 2019 to 31 December 2021. It took place in the obstetrics and
gynaecology department of the Bouaké University Teaching Hospital. The
inclusion criterion was any seizure in the gravid-puerperal period in
the context of preeclampsia. Data were entered and analysed using EPI INFO software
version 7.2.2.6. Results: We performed 20,958
deliveries and recorded 241 cases of eclampsia, representing a prevalence of
1.14%. The ages of the participants ranged from 13 to 47 years with a mean age
± SD of 22 ± 7 years. The age group ≤ 19 years represented 45.64% of
participants. Housewives accounted for 46.47%, and single women accounted for
54.77% of participants. The average parity ± SD was 1 ± 1.6
with range of 0 to 10, and nulliparous women accounted for 49.8% of participants. Patients
who were evacuated accounted for 74.27% of our study population. The
majority of eclampsia attacks occurred in the antepartum period (56.84%). The
mean gestational age ± SD was 36 ± 3.6 weeks with a range of 24 to 42 weeks.
The mode of delivery was caesarean section in 64.7% of cases. Maternal
lethality was 7.88%. The factors associated with maternal mortality due to
eclampsia were evacuation and parity of less than 3. Maternal morbidity was
16.6%. Neonatal lethality was 18.95%. The factor associated with neonatal death
in eclampsia was prematurity. Conclusion: We need to detect and manage
preeclampsia early and effectively to reduce the frequency of eclampsia and
improve its maternal-foetal prognosis in our context.