[Eclampsia: epidemiological aspects and management of 28 patients].

Boudaya Fethia, Zouaoui Béchir, Ghodhbene Ikbel, Ben Brahim Foued, Chelli Dalinda, Channoufi Mohamed Badis, Sfar Ezzedine, Chelli Héla, Bouchnak Mourad, Maghrebi Hayène

Service A du Centre de Maternité et de Néonatologie de Tunis.

Tunis Med. 2008 Jul;86(7):685-8.

AIM

To ascertain the characteristics, clinical features, and maternal fetal outcome in eclampsia in a tertiary referral center (Service A, CMNT).

METHODS

28 case notes were retrieved retrospectively and data was analyzed descriptively.

RESULTS

Twenty eight pregnancies complicated by eclampsia were identified. 14.8% of the women were nulliparous and 50% were primiparous. The mean age was 32.5 years. Mean gestational age at the time of seizures was 33.4 weeks' gestation. Twenty-two women had antepartum seizures (78.57%); 8 of the 22 had seizures at home. 6 women had postpartum seizures (21.42%). Headache preceded seizures in 17 cases (60%) hyperreflexia preceded seizures in 16 cases. 50% of women presented with systolic blood pressure (SBP) > 160 mmHg and 42.85% presented with diastolic blood pressure (DBP) > 110 mmHg. One case of maternal mortality are noted. There were 12 perinatal deaths. Three patients had intrauterine fetal deaths.

CONCLUSION

Eclampsia increased maternal and perinatal morbidity and mortality. She was not found to be a progression from severe preeclampsia. There is a need to develop new methods to identify this group of patients in an effort to further reduce the prevalence of this dangerous condition.