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Eclampsia in Kelantan.

S Nalliah1, A R Abdullah

  • 1General Hospital Kota Bharu.

The Medical Journal of Malaysia
|March 1, 1990
PubMed
Summary
This summary is machine-generated.

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.

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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:

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  • 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.