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Eclampsia: 134 consecutive cases
Author(s) -
Obed S.A.,
Wilson J.B.,
Elkins T.E.
Publication year - 1994
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(94)90115-5
Subject(s) - eclampsia , medicine , incidence (geometry) , obstetrics , pregnancy , prenatal care , retrospective cohort study , pediatrics , population , surgery , environmental health , genetics , physics , optics , biology
OBJECTIVE: A retrospective analysis of all cases of eclampsia (134) at Korle Bu Teaching Hospital, Accra, Ghana, in 1991, was undertaken to determine future directions in prevention and management. METHODS: One hundred and thirty‐four consecutive cases of eclampsia were reviewed to assess possible risk factors, associated medical impact, and the usefulness of prenatal care. RESULTS: Risk factors for the development of eclampsia include: young age, delivery in the rainy season, nulliparity, multiple pregnancy, prolonged labor, and lack of prenatal care. Eclampsia is associated with high maternal and perinatal mortality. CONCLUSIONS: Future emphasis on prenatal clinics, and earlier detection and management of pre‐eclampsia should lessen the incidence of this severe obstetric emergency.