Adverse neonatal outcomes in women with pre-eclampsia in Mulago Hospital, Kampala, Uganda: a cross-sectional study

• Published in: The Pan African medical journal Vol. 17 Suppl 1; p. 7
• Main Authors: Kiondo, Paul, Tumwesigye, Nazarius Mbona, Wandabwa, Julius, Wamuyu-Maina, Gakenia, Bimenya, Gabriel S, Okong, Pius
• Format: Journal Article
• Language: English
• Published: Uganda 2014
• Subjects: Adolescent; Adult; Cross-Sectional Studies; Female; Fetal Mortality; Humans; Infant Mortality; Infant, Newborn; Maternal Mortality; Pre-Eclampsia - epidemiology; Pre-Eclampsia - physiopathology; Pregnancy; Pregnancy Outcome - epidemiology; Premature Birth - epidemiology; Risk Factors; Uganda - epidemiology; Young Adult; Uganda; Uganda; pre-eclampsia; Mulago hospital; Risk factors; adverse neonatal outcomes
• ISSN: 1937-8688; 1937-8688
• DOI: 10.11604/pamjs.supp.2014.17.1.3014

Pre-eclampsia, which is more prevalent in resource-limited settings, contributes significantly to maternal, fetal and neonatal morbidity and mortality. However, the factors associated with these adverse outcomes are poorly understood in low resource settings. In this paper we examine the risk factors for adverse neonatal outcomes among women with pre-eclampsia at Mulago Hospital in Kampala, Uganda. Pre-eclampsia, which is more prevalent in resource-limited settings, contributes significantly to maternal, fetal and neonatal morbidity and mortality. However, the factors associated with these adverse outcomes are poorly understood in low resource settings. In this paper we examine the risk factors for adverse neonatal outcomes among women with pre-eclampsia at Mulago Hospital in Kampala, Uganda. Predictors of adverse neonatal outcomes were: preterm delivery (OR 5.97, 95% CI: 2.97-12.7) and severe pre-eclampsia (OR 5.17, 95% CI: 2.36-11.3). Predictors of adverse neonatal outcomes among women with pre-eclampsia were preterm delivery and severe pre-eclampsia. Health workers need to identify women at risk, offer them counseling and, refer them if necessary to a hospital where they can be managed successfully. This may in turn reduce the neonatal morbidity and mortality associated with pre-eclampsia.