Halimi Surraya, Halimi Syed Muhammad Ashhad
Departmenet of Obstetrics & Gynaecology, Saidu Medical College, Swat, Pakistan.
J Ayub Med Coll Abbottabad. 2010 Jul-Sep;22(3):110-2.
Eclampsia remains a leading cause of maternal and perinatal mortality and morbidity. Primigravida are at higher risk of convulsions and antepartum convulsions are more dangerous than those beginning after delivery. This study was carried out to evaluate the epidemiological aspects of patients presenting with eclampsia in the catchment area of Saidu Teaching Hospital Swat.
This descriptive non-interventional study was carried out in the Department of Obstetrics and Gynaecology. Saidu Teaching Hospital Swat from 1st January 2007 to 31st December 2009. Non-probability consecutive sampling method was used. All patients of eclampsia were included in the study. The diagnosis was based on history and confirmed on clinical findings. Inclusion criteria were patients with hypertension, proteinuria and history of fits during pregnancy; labour and peurperium within 7 days of delivery. Exclusion criteria were history of fits other than eclampsia.
A total of 23,000 admissions were made in the labour ward during the study period. Out of them 108 cases (0.46%) were of eclampsia, 85 were primigravidae with no previous history of hypertension and 23 were multigravidae with previous history of hypertension. The seasonal frequency of cases was 34.25% in winters, 17.59% in autumn, 21.29% in summers and 26.85% in spring. The incidence of eclampsia was 79.62% in primigravida, and 75% in the age group 14-19 years. The prevalence was high (82.40%) in poor socioeconomic class patients.
Eclampsia is a common pregnancy associated disorder in this part of the country especially in primigravida and teenagers. The disorder is common in low socioeconomic class. The most important aspect of its management is prevention by proper antenatal check-up, availability of health facilities and prompt referral to tertiary care hospital.
子痫仍然是孕产妇和围产期发病及死亡的主要原因。初产妇发生惊厥的风险更高,产前惊厥比产后开始的惊厥更危险。本研究旨在评估斯瓦特赛杜教学医院服务区域内子痫患者的流行病学特征。
本描述性非干预性研究于2007年1月1日至2009年12月31日在斯瓦特赛杜教学医院妇产科进行。采用非概率连续抽样方法。所有子痫患者均纳入研究。诊断基于病史,并经临床检查确诊。纳入标准为孕期有高血压、蛋白尿和惊厥病史的患者;分娩后7天内的产时及产褥期患者。排除标准为非子痫性惊厥病史。
研究期间,产房共收治23000例患者。其中108例(0.46%)为子痫患者,85例为无高血压病史的初产妇,23例为有高血压病史的经产妇。病例的季节分布为冬季34.25%,秋季17.59%,夏季21.29%,春季26.85%。初产妇子痫发病率为79.62%,14 - 19岁年龄组发病率为75%。社会经济地位较低阶层患者的患病率较高(82.40%)。
在该国这一地区,子痫是一种常见的妊娠相关疾病,尤其是在初产妇和青少年中。该疾病在社会经济地位较低阶层中较为常见。其管理的最重要方面是通过适当的产前检查、卫生设施的可及性以及及时转诊至三级医院进行预防。