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Maternal and perinatal outcome of eclampsia over a decade at a tertiary hospital in Kuwait
Rachana Chibber1,2, Jassim Al-Hijji2, Ali Amen2
1a Department of Obstetrics & Gynaecology , Faculty of Medicine, Kuwait University , Kuwait City , Kuwait and.
Aims:
To determine maternal and perinatal outcome of eclampsia patients over a decade.
Methods:
Analysis of case records of all eclampsia cases from January 2005 to December 2014.
Results:
There were 30 cases of eclampsia. The most significant risk factors for developing pre-eclampsia are unbooked cases (97%), nulliparity, young age, marriage ≤4 months, history of pre-eclampsia in previous pregnancy, remarriage, preexisting diabetes mellitus, interval between pregnancies ≥10 years, positive family history. The incidence of eclampsia was 0.05%, antepartum eclampsia 15 (50%), intrapartum 6 (20%) and postpartum 9 (30%) with no maternal deaths, and 1 perinatal death. Perinatal mortality was 33.3/1000. 22 (73%) patients received magnesium sulphate (MgSO4) and 8 patients (27%) received Diazepam, of which 1 had recurrence of convulsions. All 15 antepartum cases were delivered by cesarean section as were 2 intrapartum. 13 (43%) of women delivered vaginally. Only 6 (20%) patients were of low socio-economic status and were primary school educated. Severe maternal complications occurred in 8 (27%), with abruptio placentae being the most common 3 (38%).
Conclusions:
Incidence of eclampsia was low, with no maternal deaths. MgSO4 was found to be highly effective. Lack of antenatal care is a major risk factor.
