Pattern and determinants of mortality among eclamptic women that presented in the Federal Teaching Hospital Abakaliki, Southeast, Nigeria

Johnbosco Ifunanya Nwafor
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引用次数: 4

Abstract

Background: Eclampsia is a life-threatening obstetric emergency and one of the major causes of preventable maternal and perinatal mortality worldwide. Some women suffered eclampsia and died, while some live to tell their stories; what determines who dies? Aims: To determine the pattern and determinants of mortality among eclamptic women in our institution. Materials and Methods: This was a 5-year retrospective study of eclampsia managed between 1st January 2012 and 31st December 2016. Results: From this study, the incidence of eclampsia was 13.3 per 1000 deliveries and it contributes 21.1% of the maternal death and fetal case fatality rate of 30.2%. Women between the age range of 20–24 years accounted for majority (33.3%) of cases of eclampsia. The modal parity was Para 0 (50%) and most (89.6%) were unbooked. Antepartum eclampsia (53.1%) was the commonest form of eclampsia. Vaginal delivery was the commonest route of delivery. The determinants of maternal death were late presentation (>24 hours) (x2 = 15.37, P < 0.001), unconsciousness (x2 = 7.35, P < 0.01), severe blood pressure (x2 = 8.42, P < 0.01), and fetal death (x2 = 8.71, P < 0.01), while antepartum eclampsia (x2 = 6.23, P = 0.04), late presentation (>24 hours) (x2 = 16.76, P < 0.001), vaginal delivery (x2 = 4.82, P = 0.03), and maternal death (x2 = 12.00 P < 0.001) were determinants of fetal demise. Conclusion: Eclampsia is still a huge burden in our environment affecting maternal and perinatal morbidity and mortality profile. Early presentation and adequate treatment can help to reduce the incidence of this preventable obstetric disaster in our environment.
尼日利亚东南部阿巴卡利基联邦教学医院的子痫妇女死亡率模式和决定因素
背景:子痫是一种危及生命的产科急诊,也是世界范围内可预防的孕产妇和围产期死亡的主要原因之一。一些妇女患有子痫并死亡,而一些妇女则活着讲述自己的故事;是什么决定了谁会死?目的:确定我院子痫妇女死亡率的模式和决定因素。材料和方法:这是一项对2012年1月1日至2016年12月31日期间治疗的子痫进行的5年回顾性研究。结果:根据这项研究,子痫的发生率为13.3‰,占孕产妇死亡的21.1%,胎儿病死率为30.2%。年龄在20-24岁之间的女性占子痫病例的大多数(33.3%)。模态平价为第0段(50%),大多数(89.6%)未预订。先兆子痫(53.1%)是子痫最常见的形式。阴道分娩是最常见的分娩方式。产妇死亡的决定因素是迟发(>24小时)(x2=15.37,P<0.001)、昏迷(x2=7.35,P<0.01)、严重血压(x2=8.42,P<0.01)和胎儿死亡(x2=8.71,P<0.01),而产前子痫(x2=6.23,P=0.04)、迟发(<24小时),母亲死亡(x2=12.00 P<0.001)是胎儿死亡的决定因素。结论:子痫在我们的环境中仍然是一个巨大的负担,影响着孕产妇和围产期的发病率和死亡率。早期就诊和充分治疗有助于减少我们环境中这种可预防的产科灾难的发生率。
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