Abstract
BackgroundEclampsia is a tonic clonic type of seizure among pre-eclamptic mothers. Time to recovery from eclampsia is to mean that the time when the mother recovered from severity features of pre-eclampsia. As far as the mother is not free from severity features, she is in a potential to end-up with repeated seizure (eclampsia). Therefore, combating eclampsia through controlling severity features is crucial to enhance maternal health quality, reduce maternal morbidity and mortality, and improve prenatal outcomes. There was no literature that describes the recovery time of eclampsia and its determinants in Ethiopia. Therefore, this study aimed to assess the recovery time from eclampsia and its determinants in East Gojjam zone hospitals.MethodsAn institutional based retrospective follow up study was conducted between January 2014 and December 2017 among 608 eclamptic mothers in East Gojjam zone Hospitals. Simple random sampling technique was used. Data were coded and entered to Epidata version 3.1 and was exported to SPSS version 20 and then to Stata 14. We used the adjusted hazard ratio (AHR) with 95% confidence interval at p-value less than 0.05 to measure strength of association.ResultThe median recovery time of eclampsia was 12 h with inter-quartile range of (1–48 h). The rate of recovery from eclampsia among mothers aged more than 20 years was reduced by half (AHR 0.50 (0.28, 0.89)) than the teenagers. The rate of recovery from eclampsia among mothers who had prolonged labor was 1.3 times (AHR 1.26 (1.01, 1.57)) than those whose labor was less than 12 h. About 32% of mothers with multiple convulsions recoverd later than (AHR 0.68 (0.52, 0.87)) those who had single convulsion. As compared to antepartum convulsion, the rate of recovery from postpartum eclampsia was 1.8 times faster (AHR 1.81(1.17, 2.81)).ConclusionThe median recovery time from severity features among eclamptic mothers in East Gojjam zone hospitals was half a day. It is affected by age, duration of labor, number of convulsions and time of occurrence of the event. Special attention for elders, prevent recurrent convulsion and faster termination for the antepartum eclamptic mothers are recommended from this follow-up study.
Highlights
Improving maternal and child health is a global priority [1] .The problem of maternal health during pregnancy is one with many special features as maternity is not a disease
Special attention for elders, prevent recurrent convulsion and faster termination for the antepartum eclamptic mothers are recommended from this follow-up study
Maternal mortality is a key indicator of international development, and its reduction has long been a challenge in low-income countries, despite the existence of effective interventions [3]
Summary
Improving maternal and child health is a global priority [1] .The problem of maternal health during pregnancy is one with many special features as maternity is not a disease. In the past two and a half decades, there was a significant progress in the declining maternal mortality [4, 5, 7] In spite of this improvement, more than 289,000 women still die each year as a result of pregnancy and childbirth through pregnancy to the first 42 days of the postpartum period globally [4, 5, 7, 9]. Eclampsia is the development of generalized grandmal tonic clonic convulsions in a pregnant or puerperal woman, usually between 20 weeks’ of gestation and the first 48 h of postpartum period, mostly in a woman with gestational hypertension or preeclampsia in the absence of other neurologic conditions [10, 11] It is the most devastating type of Hypertension Disorders of pregnancy (HDP) [10]. This study aimed to assess the recovery time from eclampsia and its determinants in East Gojjam zone hospitals
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