PP082. Eclampsia in flanders: A comparative study between flanders, United Kingdom and The Netherlands

Eclampsia fulfills the European criteria of "uncommon medical conditions".

To describe eclampsia in Flanders and compare the results with data of United Kingdom Obstetric Surveillance System (UKOSS) and a similar study in the Netherlands. Methods Between January and December 2012 each maternity hospital in Flanders was contacted monthly to learn whether a case of eclampsia had occurred. For each reported case an extensive questionnaire was completed. The obtained data were analyzed using the IBM-SPSSvs20 and BMJ-CIA programs.

Over 95% of all maternity hospitals in Flanders participated. In 2012, 16 eclampsia cases were reported (incidence 2.3/10,000). Data of 14/16 cases could be used for analysis. No maternal or perinatal death occurred. In 71.4% (10/14;95%CI:45.4-88.3%) the gestational age at time of delivery was <37 weeks; in 28.6% (4/14;95%CI:11.7-54.6%) the insult occurred after the delivery; 50.00% (7/14;95%CI:26.8-73.2%) of the patients was primigravida and 28.6% (4/14;95%CI:11.7-54.6%) was negroid. Data presented in the table below summarize the findings of the last medical examination preceding the insult (n=13, insufficient data in 1 case).

The incidence of eclampsia in Flanders is comparable to that of the UK (2.7/10,000) and is 2.7 times smaller than that of the Netherlands (6.2/10.000). Proteinuria was not tested in 9. In 5 of 14 no clear alert sign was seen at the last observation compared to 10.8% and 21% in Ndl and UK.