尼日利亚北部一个半乡村城镇的三级医疗机构中子痫的发病模式。

Pattern of eclampsia in a tertiary health facility situated in a semi-rural town in Northern Nigeria.

作者信息

Tukur J, Umar B A, Rabi'u A

机构信息

Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital/Bayero University, Kano, Nigeria.

出版信息

Ann Afr Med. 2007 Dec;6(4):164-7. doi: 10.4103/1596-3519.55703.

DOI:10.4103/1596-3519.55703

PMID:18354940

Abstract

BACKGROUND/OBJECTIVE: To determine the pattern of eclampsia and its contribution to maternal mortality at the Federal Medical Centre, Birnin Kudu, Jigawa State in Northern Nigeria.

METHOD

A 4-year retrospective review of the case records of all women who presented with eclampsia at the center. All the case records were retrieved from the medical record department and analyzed.

RESULTS

There were 207 cases of eclampsia out of 2197 deliveries during the period giving an incidence of 9.42%. 171 (82.6%) of the patients were unbooked. Majority (58.5%) of the patients were aged less than 20 years. The highest frequency (78.3%) was recorded in the primigravida. Delay before reaching the hospital was established in 116 (56%) of patients. The condition was antepartum in 68 (32.9%), intrapartum in 112 (54.1%) and postpartum in 27 (13%). 107 (51.7%) of the patients were delivered by cesarean section. Twenty two (10.6%) of the mothers died. Eclampsia was the commonest cause of maternal mortality and contributed 43.1% of all maternal deaths. 180 (87%) of the babies were delivered alive while 27 (13%) died.

CONCLUSION

Eclampsia is a major cause of maternal mortality. There is need for health education on the need for patients to avail themselves of antenatal care.

摘要

背景/目的：确定尼日利亚北部吉加瓦州比尔宁库杜联邦医疗中心子痫的发病模式及其对孕产妇死亡率的影响。

方法

对该中心所有子痫患者的病例记录进行为期4年的回顾性研究。所有病例记录均从病历科检索并进行分析。

结果

在此期间的2197例分娩中，有207例子痫患者，发病率为9.42%。171例（82.6%）患者未进行产前检查。大多数患者（58.5%）年龄小于20岁。初产妇的发病率最高（78.3%）。116例（56%）患者存在就医延迟。子痫发生在产前的有68例（32.9%），产时的有112例（54.1%），产后的有27例（13%）。107例（51.7%）患者通过剖宫产分娩。22例（10.6%）母亲死亡。子痫是孕产妇死亡的最常见原因，占所有孕产妇死亡的43.1%。180例（87%）婴儿存活，27例（13%）死亡。