Pattern of Eclampsia in Onitsha, Nigeria

  • Nworah JA Obiechina Lecturer/Consultant, Department of Obstetrics and Gynaecology, Nnamdi, Azikiwe University Teaching Hospital, Nnewi, Nigeria
  • GO Udigwe Senior Registrar, Department of Obstetrics and Gynaecology, Nnamdi, Azikiwe University Teaching Hospital, Nnewi, Nigeria
Keywords: Eclampsia, Postpartum surveillance

Abstract

Objective: To ascertain the incidence, pattern and outcome of eclampsia in mothers attending and using the obstetric services of the St. Charles Borromeo Hospital, Onitsha.

Methods: A retrospective study of 102 patients that had eclampsia between January 1991 and December 2000, a ten-year period was done.

Information extracted from the case-notes included maternal age, parity, booking status, maternal morbidity and mortality. Statistical analysis was with the Chi-square distribution.

Results: The study revealed a hospital incidence of eclampsia was 0.65% of all deliveries. The incidence for the unbooked (1.31%) patients was higher than for the booked (0.54%) patients (X2=16.67, P<001). Postpartum eclampsia was the commonest form (46%), followed by antepartum eclampsia (38%), while the least was intrapartum eclampsia, (14.7%). These differences were statistically significant [X2 = 17.12, P<.001]. The maternal mortality rate was 69/1000 (41/1000 for booked and 138/1000 for the unbooked patients).

Conclusion: Eclampsia is still a major health problem facing obstetric practice in this area. Good antepartum care and intensive surveillance of patients after delivery will reduce eclampsia and its complications.

Key Words: Eclampsia, Postpartum surveillance

Orient Journal of Medicine Vol.16(1) 2004: 16-20
Published
2004-05-21
Section
Articles

Journal Identifiers


eISSN: 1115-0521