Clusters of eclampsia in a Nigerian teaching hospital

Ekele, Bissallah; Bello, Shaibu Oricha; Adamu, Aliyu

doi:10.1016/j.ijgo.2006.09.027

Cited by 23 publications

(23 citation statements)

References 15 publications

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“…This was higher than that reported from Kaduna (0.42%), 4 Sokoto (4.29%), 5 Nnewi (0.75%), 13 all in Nigeria and also Kathmandu, Nepal (0.29%).…”

Section: Discussioncontrasting

confidence: 63%

“…This finding is consistent with that of other studies. 4,5,13 The importance of this finding is that this group of patients deserve extra surveillance during antenatal care in terms of monitoring their blood pressure and screening their urine for proteinuria to detect preeclampsia.…”

Section: Discussionmentioning

confidence: 99%

“…3 Reports from other centers especially in northern Nigeria also reveal a similar picture of high incidence of eclampsia and contribution to maternal mortality. 4,5 In the developing countries, there is low utilization of both antenatal and intrapartum care and the patients may present to the hospital only as a last resort. The opportunity to detect women at the preeclamptic phase is therefore usually lost.…”

Section: Introductionmentioning

confidence: 99%

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Pattern of eclampsia in a tertiary health facility situated in a semi-rural town in Northern Nigeria

Tukur

Umar²,

Rabiu³

2007

Ann Afr Med

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Background/Objective: To determine the pattern of eclampsia and its contribution to maternal mortality at the Federal Medical Centre, Birnin Kudu, Jigawa State in Northern Nigeria. Method: A 4-year retrospective review of the case records of all women who presented with eclampsia at the center. All the case records were retrieved from the medical record department and analyzed. Results: There were 207 cases of eclampsia out of 2197 deliveries during the period giving an incidence of 9.42%. 171(82.6%) of the patients were unbooked. Majority (58.5%) of the patients were aged less than 20 years. The highest frequency (78.3%) was recorded in the primigravida. Delay before reaching the hospital was established in 116(56%) of patients. The condition was antepartum in 68(32.9%), intrapartum in 112(54.1%) and postpartum in 27(13%). 107(51.7%) of the patients were delivered by cesarean section. Twenty two (10.6%) of the mothers died. Eclampsia was the commonest cause of maternal mortality and contributed 43.1% of all maternal deaths. 180(87%) of the babies were delivered alive while 27(13%) died. Conclusion: Eclampsia is a major cause of maternal mortality. There is need for health education on the need for patients to avail themselves of antenatal care. Key words: Eclampsia, maternal mortalityRésumé Fond/Objectif: Pour détermine la distribution de l'éclampsie et sa contribution a la mortalité maternelle au centre de santé médical fédéral de Birnin Kudu, état de Jigawa au Nord du Nigeria. Méthodologie: Ceci est une revue rétrospective pendant quatre ans des cas reportes de toutes les femmes qui se sont présentées avec l'éclampsie a ce centre. Tous ces rapports ont été obtenu au département des rapports médicaux et ont été analyses. Résultats: Il y a eu 207 cas d'éclampsie permis 2197 naissances. Ceci donne une incidence de 9.42%. 171 (82.6%) de tous ces patients n'ont pas fait de visite prénatale. La majorité des patients (58.5%) étaient ages de moins de 20 ans. La fréquence la plus élevée (78.3%) a été obtenu parmi les primigravid. Le retard avant de se présenter au centre de santé a été étable chez 116 (56%) des patients. La condition était prénatale chez 68 (32.9%), intra natale chez 112 (54.1%) et postnatale chez 27 (13%). Chez 107 (51.7%) patients, l'accouchement s'est fait par caesarienne. 22 (10.6%) de maman étaient decedees. L'éclampsie était la cause de la mortalité maternelle la plus élevée et a contribue a 43.1% de tous les décès maternels. 180(87%) bébés sont nés vivant alois que 27(13%) étaient mort nes. Conclusion: L'éclampsie est la cause majeure de la mortalité maternelle. Les patients ont besoin d'être éduques et aussi d'aller aux visites prénatales.

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“…This was higher than that reported from Kaduna (0.42%), 4 Sokoto (4.29%), 5 Nnewi (0.75%), 13 all in Nigeria and also Kathmandu, Nepal (0.29%).…”

Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pattern of eclampsia in a tertiary health facility situated in a semi-rural town in Northern Nigeria

Tukur

Umar²,

Rabiu³

2007

Ann Afr Med

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“…Finally, 59 articles (20 from high‐income, 30 from middle‐income and nine from low‐income countries) were eligible for this review (Fig. ) …”

Section: Resultsmentioning

confidence: 99%

Should magnesium sulfate be administered to women with mild pre‐eclampsia? A systematic review of published reports on eclampsia

Berhan

2015

J of Obstet and Gynaecol

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“…[1] In Nigeria, they are listed as one of the top three causes of maternal mortality. [2][3][4][5][6][7][8] Ultimately, the only "cure" for pre-eclampsia and eclampsia is delivery of the baby. However, maternal and perinatal deaths are significantly reduced with appropriate treatment.…”

Section: Commentarymentioning

confidence: 99%

Use of magnesium sulfate to manage pre-eclampsia and eclampsia in Nigeria: Overcoming the odds

Ekele

2009

Ann Afr Med

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Clusters of eclampsia in a Nigerian teaching hospital

Abstract: The incidence of eclampsia is unusually high and is increasing. It has shown 3 clusters in the last 10 years.

Cited by 23 publications

References 15 publications

Pattern of eclampsia in a tertiary health facility situated in a semi-rural town in Northern Nigeria

Pattern of eclampsia in a tertiary health facility situated in a semi-rural town in Northern Nigeria

Should magnesium sulfate be administered to women with mild pre‐eclampsia? A systematic review of published reports on eclampsia

Use of magnesium sulfate to manage pre-eclampsia and eclampsia in Nigeria: Overcoming the odds

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