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Objectives: To evaluate the epidemiology of eclampsia, to assess maternal andperinatal prognosis and management. Material and method: This was a retrospective, descriptive study fromJanuary 1, 2015 to December 31, 2018. Included were all women received in theemergency department of our health facilityfor generalized seizures and/or disturbances of consciousness, occurring betweenthe 20th Week of Amenorrhea (WA) and the 6th week of postpartum on a field ofhypertension. The sources of the data consisted of antenatal consultationcards, delivery records, hospital records, operating theater and resuscitation records. The variables studied weresociodemographic characteristics, the course of pregnancy, childbirthand neonatal parameters. Data were capturedand analyzed using SPSS 11.0 software. Results: The study focused on 190 cases with a prevalence of3.5%. The average age of the patients was 20 years with extremes of 14 and 40years. The average parity was 4.1 deliveries with extremes of 1 and 7. Nearlythree-quarters of the patients (74.7%) of the patients were primiparous. Almostall the patients were evacuated. More than half of the seizures (53.1%) wererecorded before work and more than one out of two patients had two seizures.Caesarean section was the mode of delivery in more than one out of two patients(56.8%). Maternal complications were marked by renal failure (23 cases), theHELLP syndrome (72 cases), and the retro placental hematoma (83 cases). The fetalimpact was marked by prematurity in 90% of cases and 17 cases of fetal deathin-utero. Nineteen maternal deaths were recorded while early neonatal mortality was437 per 1000 live births. The average hospital stay of the survivors was 6.2days. Conclusion: Eclampsia is still common in our regions. It occurspreferentially in young primiparas with hypertension and/or proteinuria on apoorly followed pregnancy. Magnesium sulphate and cesarean section can improvethe maternal and fetal prognosis. Prevention necessarily means quality prenatalcare.

Diagnostic and Prognostic Epidemic Aspect of Eclampsia at the Kolda Regional Hospital Center (Senegal)