356. The eclampsia maternal mortality in Dr. Soetomo General Hospital January 2015–December 2017: Evidence from Dr. Soetomo General Hospital

Abstract

Introduction The incidence of Eclampsia in developed country is 1,5–10 cases per 10.000 delivery. The incidence of Eclampsia in developing country is 6–157 cases per 10.000 delivery. More than 50.000 women annually because of Eclampsia. Maternal Mortality Ratio more than 1–2% in developed country. Maternal Mortality Ratio more than 10% in developing country. Objective To know the incidence of Eclampsia and Case Fatality Rate of Eclampsia in Dr. Soetomo General Hospital from January 2015–December 2017. Methods This research was Case Control Study. Results There was 134 Eclampsia cases with 35 maternal death cases. The highest percentage of Eclampsia was maternal age 20–35 year old (62,7%). Place of delivery at Soetomo Hospital 84,18%, hospitalized 1–5 days 49,3%, gestasional age ⩾36 weeks 81,7%; Multigravida 84,3%, performed Caesarean Section (74,6%). Case fatality rate from maternal age ⩽20 year old 34,6%, the address out of Surabaya 66,46%, place of delivery out of Soetomo General Hospital has highest case fatality rate (31,8%), the highest case fatality rate from duration of hospitalization was 6–10 days (50%), the gestasional age ⩽34 weeks gestation (58,3%), the highest case fatality rate was primigravida 57,1 % and the case fatality rate of vaginal delivery 14,28%. Conclusion Eclampsia was highest in age 20–35 years old, the case fatality rate was highest in age ⩽ 20 years old. The duration of hospitalization the highest was 1–6 days hospitalization, the highest case fatality rate was 6–10 days hospitalization. the highest eclampsia incidence was ⩾36 weeks gestation, the highest case fatality rate was ⩽34 weeks gestation. The incidence of Eclampsia was highest in Multigravida, the highest case fatality rate was primigravida. The highest mode of delivery was Caesarean Section, case fatality no different between caesarean and vaginaly.