Pregnancy following eclampsia: a longitudinal study at korle- bu teaching hospital
S.A Obed, P Aniteye
Abstract
Objective: To find out the reproductive performance of patients in the immediate pregnancy following an eclampsia. Design: Longitudinal survey. Setting: Obstetrics Unit of Department of Obstetrics
and Gynaecology in a teaching hospital. Subjects and Methods: Three hundred and ninety seven women whose previous pregnancies were
complicated by eclampsia were followed up based on a schedule of antenatal care from 14-16 weeks gestation till delivery. The occurrence of hypertensive complications, timing of delivery, fetal outcome and birth weight were noted. Results: There were no cases of recurrent eclampsia and no maternal death. Pregnancy-induced hypertension and pre-eclampia recurred in 15.8% of the women. These recurrencies were more significant among those who had changed their male partners (p = 0.0005). The caesarean section rate was 65.9%. The mean ponderal indices in those who developed hypertensive complications were
significantly lower than the normotensives (P
and Gynaecology in a teaching hospital. Subjects and Methods: Three hundred and ninety seven women whose previous pregnancies were
complicated by eclampsia were followed up based on a schedule of antenatal care from 14-16 weeks gestation till delivery. The occurrence of hypertensive complications, timing of delivery, fetal outcome and birth weight were noted. Results: There were no cases of recurrent eclampsia and no maternal death. Pregnancy-induced hypertension and pre-eclampia recurred in 15.8% of the women. These recurrencies were more significant among those who had changed their male partners (p = 0.0005). The caesarean section rate was 65.9%. The mean ponderal indices in those who developed hypertensive complications were
significantly lower than the normotensives (P
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Ghana Medical Journal. ISSN: 0855-0328