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Summary
Eclampsia in Kelantan affected 146 women, causing significant maternal and fetal complications. Improved patient education and intensive care monitoring are crucial for managing this severe pregnancy condition.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Perinatal Medicine
Background:
- Eclampsia remains a significant cause of maternal and fetal morbidity and mortality globally.
- Understanding regional variations in eclampsia incidence and outcomes is vital for targeted interventions.
Purpose of the Study:
- To review the incidence, maternal complications, and outcomes of eclampsia in Kelantan between 1983 and 1988.
- To identify risk factors and discuss implications for healthcare delivery and patient education.
Main Methods:
- Retrospective review of 146 documented cases of eclampsia in Kelantan.
- Analysis of maternal demographics, clinical presentation, complications, and perinatal outcomes.
Main Results:
- The incidence of eclampsia was 66 per 100,000 deliveries, with 8 maternal deaths.
- Common complications included cerebral hemorrhage, pulmonary edema, renal failure, HELLP syndrome, and abruptio placentae.
- Perinatal mortality rate was high at 185.9 per 1000, with 28.2% of mothers delivering prematurely.
Conclusions:
- Eclampsia presents a substantial risk of severe maternal and fetal complications in Kelantan.
- A multidisciplinary approach to medical management, including intensive care, is recommended.
- Enhanced patient education and improved healthcare delivery systems are essential to mitigate eclampsia's impact.