Abstract
We present a study to the clinical, therapeutic and evolutive aspects of severe pre-eclampsia and eclampsia in the service of obstetrics and gynaecology of regional teaching hospital of Ouahigouya. We have conducted a descriptive and analytical study with retrospective data collection within 3 years, from 1st January 2013 to 31st December 2015. We have recorded 5791 deliveries out of which 261 were included giving a rate of 4.51% (61 cases of eclampsia 1.05%, 200 cases of severe pre-eclampsia, 3.45%). The most affected patients were the women with age ranging between 16-20 years (33.3%), the nulliparous women (24.2%), the multiparous women (25.5%), married women (84%) and those without renumbering activity (86.6%). Maternal prognosis was dominated by a morbidity linked to fever (24.8%), coma (21.7%) and acute kidney failure (14.9%). Maternal lethality rate was 1.92% and the fetal mortality was 24.6%.
Highlights
Hypertension disorders during pregnancy, severe pre-eclampsia and eclampsia affect about 8% of pregnancies and lead to 12% of maternal death in the whole world [1]
In Burkina Faso, the maternal lethality rate linked to eclampsia was 3, 3% at University Hospital Yalgado Ouedraogo (UHCYO) and eclampsia was the fourth maternal death cause behind hemorrhages, infections and complications of abortion [5]
The study was based on pregnant women, parturient women and delivered women hospitalized at the maternity of regional teaching hospital of Ouahigouya (RTHO) during the study period on account of either severe pre-eclampsia or eclampsia
Summary
Hypertension disorders during pregnancy, severe pre-eclampsia and eclampsia affect about 8% of pregnancies and lead to 12% of maternal death in the whole world [1]. Eclampsia is one of serious complications of hypertension crisis during pregnancy [3]. Eclampsia leads to maternal deaths 50 000 per year in the world. In Africa, eclampsia affects one pregnancy out of 2000 with maternal death of 30% and fetal and perinatal mortality of 20% [1], [4]. In Burkina Faso, the maternal lethality rate linked to eclampsia was 3, 3% at University Hospital Yalgado Ouedraogo (UHCYO) and eclampsia was the fourth maternal death cause behind hemorrhages, infections and complications of abortion [5]
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