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Epidemiology of eclampsia in Colombia
Author(s) -
CondeAgudelo A.,
KafuryGoeta A.C.
Publication year - 1998
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/s0020-7292(98)00003-4
Subject(s) - eclampsia , medicine , incidence (geometry) , epidemiology , obstetrics , perinatal mortality , maternal morbidity , pregnancy , complication , pediatrics , surgery , fetus , genetics , physics , optics , biology
Objective: To measure the incidence of eclampsia, its maternal and perinatal outcomes and patterns of presentation of this disease in our environment. Method: Retrospective descriptive study of 164 cases of eclampsia managed at the Hospital Universitario del Valle, Cali, Colombia from September 1993 to August 1995. Information was collected from reviews of hospital case‐notes. Results: The incidence of eclampsia was 8.1/1000 deliveries. Maternal mortality was 6.1%. Fifty‐seven percent of seizures occurred antepartum, 22% during labor, and 21% after delivery. Sixty‐nine cases (42%) presented preterm. Ninety‐eight women (60%) were nulliparous. Approximately one quarter of the women did not have hypertension or significant proteinuria at the time of seizures. Twenty percent of all women had at least one major complication. Perinatal mortality was 12.8%. Antepartum and postpartum cases were more severe than intrapartum cases. Conclusion: Eclampsia occurs in one in 124 deliveries in Cali, Colombia and is associated with high maternal and perinatal morbidity and mortality.