Potentially increasing rates of hypertension in women of childbearing age and during pregnancy - be prepared!

Moodley, Jagidesa

doi:10.5830/cvja-2010-074

Cited by 12 publications

(6 citation statements)

References 17 publications

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“…12 Educational interventions that result in a reduction in "phase 1 delays" contributing to maternal morbidity and mortality, help to address Millennium Development Goal number 5.…”

Section: 9mentioning

confidence: 99%

Knowledge of pre-eclampsia in women living in Makole Ward, Dodoma, Tanzania

Savage

Hoho

2016

Afr H. Sci.

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Background: Pre-eclampsia is a hypertensive disorder specific to pregnancy responsible for significant maternal morbidity and mortality in Africa. The majority of deaths related to pre-eclampsia could be avoided with timely and effective care. "Phase one delays" arise because of lack of knowledge. Objectives: This study aimed to assess the knowledge levels of women living in Makole ward, comparing respondent subgroups with different demographic characteristics. It also aimed to compare knowledge levels in respect to six subtopics of pre-eclampsia. This was to allow for planning of appropriate activities to reduce delays in seeking health care. Methods: This study surveyed 200 adult women randomly identified in the community. They were asked 36 questions on preeclampsia requiring yes / no answers. The data was analysed quantitatively. Results: Overall knowledge levels were low with an average of 41% of correct answers. Minor differences in the knowledge levels of demographic subgroups were found. Statistically significant differences were identified between sub-topics of preeclampsia; signs and symptoms were the least well known. Conclusion: Educational systems (formal and informal) are failing to provide communities with potentially life-saving information. Health centre, community and school based education programmes are recommended.

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“…12 Educational interventions that result in a reduction in "phase 1 delays" contributing to maternal morbidity and mortality, help to address Millennium Development Goal number 5.…”

Section: 9mentioning

confidence: 99%

Knowledge of pre-eclampsia in women living in Makole Ward, Dodoma, Tanzania

Savage

Hoho

2016

Afr H. Sci.

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“…Studies continue to suggest the increasing burden of HDP around the world making it a growing public health problem [23] It should be noted that the adverse effects of preeclampsia and eclampsia are not only limited to the mother but also to the foetus with several complications ranging from intra-uterine growth restriction to intra-uterine foetal death [24] Eclampsia is a very serious but preventable complication of pregnancy responsible for high maternal and perinatal mortality. So this study was conducted to see different factors associated with eclampsia.…”

Section: Introductionmentioning

confidence: 99%

Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria

Charles¹

2017

JGO

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Abstract:Context: Eclampsia contributes significantly to maternal and perinatal mortalities globally. The objective of this study is to review the maternal and foetal outcome of eclampsia in Jos University Teaching Hospital (JUTH), Jos Plateau, Nigeria. Study design: A retrospective study that reviewed records from labour ward and the Medical Records Department, of cases of eclampsia managed at JUTH over a 9 year period from 1st January 2008-31st December, 2016. Results: There were 145 cases of eclampsia out of a total of 17,169 deliveries within the study period, giving a prevalence of 0.84%. It was most common, 22 (24.8%), in the 25-29 year age group. The nulliparous women, 58 (40%) were more commonly affected. The prevalence was higher in the un-booked patients 86 (59.3%), and antepartum eclampsia was the commonest type133 (91.7%). Headache with blurring of vision 106 (73.1%) was the commonest symptom. The case fatality rate was 5.5%, low birth weight was seen in 78 (53.8%) while Perinatal death was 18 (12.4%) Conclusion: Eclampsia occurred mainly in un-booked and primigravid patients in this study. Early registration of pregnant women, especially primigravida, in health facilities for effective antenatal care and supervised hospital delivery will significantly reduce the prevalence and complications of eclampsia.

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“…Several theories exist on the pathogenesis of preeclampsia, but at present, it is suggested that the placenta is the primary agent in the development of preeclampsia, hence, removal of the placenta (by termination of the pregnancy is the sole method of treating the condition [ 13 ]. Studies continue to suggest the increasing burden of HDP around the world making it a growing public health problem [ 1 , 14 ]. Currently, data on risk profiles and outcome of preeclampsia and eclampsia are limited in Cameroon.…”

Section: Introductionmentioning

confidence: 99%

Trend in admissions, clinical features and outcome of preeclampsia and eclampsia as seen from the intensive care unit of the Douala General Hospital, Cameroon

et al. 2015

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IntroductionHypertensive disorders in pregnancy (HDP) are a major cause of maternal morbidity and mortality. We aimed at determining the trends in admission, profiles and outcomes of women admitted for preeclampsia and eclampsia to an intensive care unit (ICU) in Cameroon.MethodsA retrospective study involving 74 women admitted to the ICU of the Douala General Hospital for severe preeclampsia and eclampsia from January 2007 to December 2014. Clinical profiles and outcome data were obtained from patient records. Statistical analysis was performed using SPSS version 20.ResultsOf the 74 women admitted to ICU (72.5% for eclampsia), mean age was 30.2years and the majority (90.5%) were aged 20-39 years. While overall trend in admission for HDP increased over the years, mortality remained stable. Mean gestational age (GA) on admission was 34.0 weeks (33.5 for preeclampsia vs 35.4 for eclampsia). Most patients presented with complications of which acute kidney injury was most frequent (66.7%). Visual problems were more common in patients with eclampsia compared to preeclampsia (p = 0.01). HELLP syndrome and acute pulmonary oedema (APO) were predominant in patients with preeclampsia, while cerebrovascular accidents (CVA) occurred more in patients with eclampsia. Overall mortality was 24.3%. Presence of APO was associated with mortality in multivariable analysis (O.R.= 0.03, p = 0,01).ConclusionTrends in admission for HDP were increasing with high but stable mortality rate. Patients presented late most of whom with complications. Interventions improving antenatal care services and multidisciplinary management approach may improve maternal outcome in patients with HDP.

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Potentially increasing rates of hypertension in women of childbearing age and during pregnancy - be prepared!

Cited by 12 publications

References 17 publications

Knowledge of pre-eclampsia in women living in Makole Ward, Dodoma, Tanzania

Knowledge of pre-eclampsia in women living in Makole Ward, Dodoma, Tanzania

Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria

Trend in admissions, clinical features and outcome of preeclampsia and eclampsia as seen from the intensive care unit of the Douala General Hospital, Cameroon

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