Why magnesium sulfate ‘coverage’ only is not enough to reduce eclampsia: Lessons learned in a middle-income country

Verschueren, Kim J.C.; Paidin, Rubinah R.; Broekhuis, Annabel; Ramkhelawan, Olivier S.S.; Kodan, Lachmi R.; Kanhai, Humphrey H.H.; Browne, Joyce L.; Bloemenkamp, Kitty W. M.; Rijken, Marcus J.

doi:10.1016/j.preghy.2020.09.006

Cited by 5 publications

(2 citation statements)

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“…Finally, group 10 (women with preterm, single cephalic pregnancy) was the second largest contributor to CS. Previous research in Suriname has highlighted the significant prevalence of hypertensive disorders of pregnancy and its profound effect on adverse perinatal outcomes, which could potentially affect the extent to which group 10 contributes to CS rates in the country [41,42]. Prevention, early detection, and adequate treatment of HDP could therefore potentially contribute to reducing preterm CS in Suriname [21].…”

Section: Adverse Neonatal Outcomesmentioning

confidence: 99%

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

Prüst,

Dupont,

Liesdek

et al. 2024

Preprint

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Background – Cesarean Section (CS) rates are increasing concerningly. Optimizing CS performance is a global health priority, given the maternal and perinatal morbidity and mortality associated with both underuse and overuse. This nationwide study in Suriname aims to (1) determine the national, facility-based CS rate and explore which women are at highest risk and (2) use the WHO Robson classification to enhance understanding drivers and outcomes of CS to develop tailored interventions. Methods – An observational, cross-sectional study in Suriname, using nationwide birth registry data that included all hospital births in 2020 and 2021. We used multivariate logistic regression analysis to assess maternal and perinatal characteristics associated with CS. We described caesarean births according to the Robson-10 classification and used descriptive statistics to analyze CS frequencies and neonatal outcomes. Results – We analyzed the 18,917 women who gave birth in Surinamese hospitals, with an overall 23.9% CS rate (n=4522). The highest CS rates were seen among women with a previous CS(69.3%, aOR 16.2, 95% CI 14.4 – 18.2), BMI > 40 (47.0%, aOR 5.1, 95% CI 4.0 – 6.5), newborn with a birth weight above 4000 grams (37.3%, 2.2, 95% CI 1.6 – 3.0) and women giving birth at hospital IV (38.5%, aOR 1.8, 95% CI 1.6 – 2.0). Hindustani women were more likely to give birth by CS compared to maroon women (aOR 1.6, 95% CI 1.4 – 2.0). Robson group 5 (i.e. multiparous, term women with a previous CS and cephalic presentation), contributed to 30.5% of the CS cases (n=1378). Robson group 2 and 4 (i.e. pre-labor CS, or CS after induction, among term women without previous CS and cephalic presentation) contributed to 21.8% (n=985) of all CS performed. Robson group 1 and 3 (i.e. during spontaneous labor CS among term women without previous CS and cephalic presentation) accounted for 23.3% (n=1052) of the CS cases. Conclusion – The CS rate in Suriname is 24%, with substantial intra-country and inter-hospital variations. These disparities underscore the need for targeted interventions addressing both overuse and underuse of CS. Preventative measures should prioritize promoting safe VBAC, preventing first-time CS and ongoing monitoring of trends and regular case audits.

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Section: Adverse Neonatal Outcomesmentioning

confidence: 99%

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

Prüst,

Dupont,

Liesdek

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

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“…Por su parte la eclampsia en estas pacientes está relacionadas con trastornos hipertensivos del embarazo, vista como una complicación grave y potencialmente mortal que provoca una morbimortalidad significativa (17; 21 -25). Se concuerda con el autor Carrera (2020), quien aprecia la prevalencia de varias complicaciones maternofetales que elevan la morbimortalidad de las embarazadas (31), así como, otros estudios que reconocen la eclampsia dentro de las principales problemáticas del embarazo a nivel mundial, con una tasa de letalidad de hasta el 10 % en países de bajos ingresos (32).…”

Section: Artículo Originalunclassified

Complicaciones obstétricas relacionadas al embarazo de las adolescentes atendidas en una unidad hospitalaria en ecuador

Villacreses Cobo,

Sarduy Sieres,

Pillasagua Cedeño

et al. 2023

Más Vita. Rev. Cienc. Salud

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Introducción: El embarazo adolescente, se refiere al embarazo ocurrido en niñas con edad entre 10 y 19 años, esta etapa de la adolescencia es vista como un período crítico en el desarrollo de conductas sexuales, donde las niñas tienen una alta probabilidad de manifestar graves complicaciones por eventos relacionados con la fertilidad. Objetivo: Identificar las complicaciones obstétricas más frecuentes en el embarazo de adolescentes atendidas en una unidad hospitalaria en ecuador. Materiales y métodos: Se ejecutó una investigación de tipo cuantitativa, retrospectiva, relacional y no experimental. Se tuvo en cuenta como población a 213 pacientes adolescentes que cumplieron con los criterios de inclusión; las variables analizadas fueron edad, años, preeclampsia, amenaza de aborto, retención de la placenta, eclampsia, anemia, hipertensión gestacional y hemorragia. El análisis estadístico se desarrolló mediante el programa SPSS Versión 25, analizando la frecuencia absoluta, porcentaje, Ji2 con un Intervalo de Confianza de 95% y valor P=0.05. Resultados. El mayor porcentaje está representado por la Preeclampsia, con un 43,7%, mientras que en menor medida aparecen como complicaciones la anemia (19,7%) y la Eclampsia (11,7%). al observar las complicaciones obstétricas según el año, se demuestra una tendencia hacia la disminución en este hospital, al mostrar un descenso desde 84 casos en el 2018 a 22 casos en el 2021, representando una diferencia de 73,8%; el declive observado quizás se deba a la implementación de algunos programas nacionales que generaron en su momento cambios positivos hacia la educación sexual. Conclusiones: la preeclampsia, la anemia y la eclampsia, fueron identificadas como las complicaciones obstétricas más frecuentes en el embarazo de adolescentes que asistieron al hospital en el periodo muestreado.

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The burden of severe hypertensive disorders of pregnancy on perinatal outcomes: a nationwide case-control study in Suriname

Prüst

Kodan

Akker

et al. 2021

AJOG Global Reports

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Why magnesium sulfate ‘coverage’ only is not enough to reduce eclampsia: Lessons learned in a middle-income country

Cited by 5 publications

References 32 publications

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

Complicaciones obstétricas relacionadas al embarazo de las adolescentes atendidas en una unidad hospitalaria en ecuador

The burden of severe hypertensive disorders of pregnancy on perinatal outcomes: a nationwide case-control study in Suriname

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