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Eclampsia: A Five-year Retrospective Review in Sagamu, South-West Nigeria

Authors: AKINPELU Akintunde , AKADRI Adebayo , Oluwaseyi Odelola, Micheal Elegbede, John , Mutiu Abiodun Popoola

Publication Type: Journal article

Journal: Nigerian Journal Of Medicine

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Abstract

Context: Eclampsia is one of the leading causes of maternal and perinatal morbidity and mortality in developing countries. This is the result of poor health-seeking behavior of pregnant women and inadequate comprehensive emergency obstetric services. This study reviewed the presentation and management of eclampsia in Sagamu over a 5-year period. Aims: This study aims to determine the prevalence, pattern of clinical presentation and fetomaternal outcomes of eclampsia. Settings and Design: This was a retrospective study conducted in Olabisi Onabanjo University Teaching Hospital Sagamu, Ogun state. Subjects and Methods: Relevant information was retrieved from case notes of all patients who presented with eclampsia from January 2014 to December 2018. Data were analyzed using SPSS version 21. Results: Out of the 4656 deliveries, there were 45 cases of eclampsia giving a prevalence of 0.97%. The modal age was 20–24 years. Majority were unbooked 41 (91.1%) and 29 (64.4%) of the women were nulliparas. Antepartum eclampsia was commonest occurring in 36 women (80%). The most common premonitory symptom was headache occurring in as high as 37 women (82.2%). Most of the patients 37 (84.4%) had an abdominal delivery. There were two maternal mortalities (4.4%) and four perinatal deaths (8.9%). There was no statistically significant association between factors such as booking status, type of eclampsia, mode of delivery and parity, and the fetal outcome (APGAR score at 1 min). Conclusions: Eclampsia is still one of the preventable causes of maternal and perinatal mortality in our environment. The prevalence of eclampsia in sagamu was 0.97%. Improved health-seeking behavior, antenatal care monitoring, and prompt diagnosis and management of preeclampsia will invariably reduce the prevalence of eclampsia

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AKINPELU,A. AKADRI,A. Oluwaseyi,I.O Micheal,O.E John,O. Mutiu,A.P . (2020). Eclampsia: A Five-year Retrospective Review in Sagamu, South-West Nigeria, 29 (), 450-450.

AKINPELU,A. AKADRI,A. Oluwaseyi,I.O Micheal,O.E John,O. Mutiu,A.P . "Eclampsia: A Five-year Retrospective Review in Sagamu, South-West Nigeria" 29, no (), (2020): 450-450.

AKINPELU,A. and AKADRI,A. and Oluwaseyi,I.O and Micheal,O.E and John,O. and Mutiu,A.P and . (2020). Eclampsia: A Five-year Retrospective Review in Sagamu, South-West Nigeria, 29 (), pp450-450.

AKINPELUA, AKADRIA, OluwaseyiIO, MichealOE, JohnO, MutiuAP, . Eclampsia: A Five-year Retrospective Review in Sagamu, South-West Nigeria. 2020, 29 ():450-450.

AKINPELU,Akintunde , AKADRI,Adebayo , Oluwaseyi,Isaiah Odelola, Micheal,O. Elegbede, John,Ogunyemi , and Mutiu,Abiodun Popoola . "Eclampsia: A Five-year Retrospective Review in Sagamu, South-West Nigeria", 29 . (2020) : 450-450.

A.Akintunde A.Adebayo O.Isaiah Odelola M.O. Elegbede J.Ogunyemi & M.Abiodun Popoola , "Eclampsia: A Five-year Retrospective Review in Sagamu, South-West Nigeria" vol.29, no., pp. 450-450, 2020.

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