A review of eclampsia in Qatar 1991: 2000
Joint Authors
Source
Issue
Vol. 11, Issue 2 (31 Dec. 2002), pp.51-56, 6 p.
Publisher
Publication Date
2002-12-31
Country of Publication
Qatar
No. of Pages
6
Main Subjects
Topics
Abstract EN
Objective : To measure the incidence and risk factors of eclampsia, establish how often it is preceded by pr-ec- lampsia, detect the clinical characteristics of women de¬veloping eclampsia, document the morbidity associated with eclampsia, determine the maternal case fatality rate and review the clinical features and management of this con¬dition.
Method : A retrospective review of all cases of eclamp¬sia which were managed in the Women’s Hospital in the State of Qatar in the period between January 1991 to De¬cember 2000.
Details were collected by reviewing the files of the patients from the medical record.
Data were ana¬lyzed by either x2 analysis or the unpaired student “t” test as appropriate.
Result : Thirty nine cases of eclampsia were notified.
The incidence of eclampsia in Qatar was 4.1110,000 ma¬ternities.
Fourteen women (36 %) had no antenatal care (ANC).
However most convulsions occurred despite ANC (64 %) and within one week of the woman’s last visit to a doctor (58 %).
Thirty nine percent of the first seizures oc¬curred in hospital, of which 23 % developed before both proteinuria and hypertension had been developed.
Twenty three percent of eclampsia occurred postpartum (PP), 51 % antepartum (AP), and the remainder (26 %) intrapartum (IP).
There was no maternal fatality in Qatar but 23 % of all women had at least one major complication.
The rate of still birth (SB) and first week neonatal death (NND) was 76.2 / 1000and 83.6 / 1000respectively and the perinatal mor¬tality rate (PNMR) was 153.8 / 1000.
Preterm eclampsia was more common than term eclampsia (74 % V 26 %).
Preterm eclampsia occurred more commonly AP (66 %) and was associated with more maternal complications (26 %) and fetuses that were small for gestational age (34 %) as well as with higher rates of SB (10 %) and first weekNNDs (14 %).
Conclusion : Eclampsia occurs in nearly one in 4000 maternities in Qatar and is associated with high incidence of maternal and neonatal morbidity and mortality.
An¬tepartum onset carries greater risks and preterm eclamp¬sia is particularly dangerous to both mother and fetus.
American Psychological Association (APA)
Shararah, H. A.& Uthman S. Y.. 2002. A review of eclampsia in Qatar 1991: 2000. Qatar Medical Journal،Vol. 11, no. 2, pp.51-56.
https://search.emarefa.net/detail/BIM-571073
Modern Language Association (MLA)
Shararah, H. A.& Uthman S. Y.. A review of eclampsia in Qatar 1991: 2000. Qatar Medical Journal Vol. 11, no. 2 (Dec. 2002), pp.51-56.
https://search.emarefa.net/detail/BIM-571073
American Medical Association (AMA)
Shararah, H. A.& Uthman S. Y.. A review of eclampsia in Qatar 1991: 2000. Qatar Medical Journal. 2002. Vol. 11, no. 2, pp.51-56.
https://search.emarefa.net/detail/BIM-571073
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 55-56
Record ID
BIM-571073