Maternal and perinatal outcome of eclampsia over a decade at a tertiary hospital in Kuwait

• Published in: The journal of maternal-fetal & neonatal medicine Vol. 29; no. 19; p. 3132
• Main Authors: Chibber, Rachana, Al-Hijji, Jassim, Amen, Ali, Fouda, Mohamed, Kaleemullah, Zeinab Mohammed, El-Saleh, Eyad, Mohammed, Asiya Tasneem
• Format: Journal Article
• Language: English
• Published: England 01.10.2016
• Subjects: Adolescent; Adult; Anticonvulsants - therapeutic use; Diazepam - therapeutic use; Female; Humans; Incidence; Infant, Newborn; Kuwait - epidemiology; Longitudinal Studies; Magnesium Sulfate - therapeutic use; Maternal Mortality; Perinatal Mortality; Pre-Eclampsia - epidemiology; Pre-Eclampsia - mortality; Pregnancy; Prenatal Care; Retrospective Studies; Risk Factors; Seizures - drug therapy; Young Adult; Kuwait; risk factors; magnesium sulphate; Antenatal care
• ISSN: 1476-4954
• DOI: 10.3109/14767058.2015.1114095

To determine maternal and perinatal outcome of eclampsia patients over a decade. Analysis of case records of all eclampsia cases from January 2005 to December 2014. There were 30 cases of eclampsia. The most significant risk factors for developing pre-eclampsia are unbooked cases (97%), nulliparity, young age, marriage ≤4 months, history of pre-eclampsia in previous pregnancy, remarriage, preexisting diabetes mellitus, interval between pregnancies ≥10 years, positive family history. The incidence of eclampsia was 0.05%, antepartum eclampsia 15 (50%), intrapartum 6 (20%) and postpartum 9 (30%) with no maternal deaths, and 1 perinatal death. Perinatal mortality was 33.3/1000. 22 (73%) patients received magnesium sulphate (MgSO4) and 8 patients (27%) received Diazepam, of which 1 had recurrence of convulsions. All 15 antepartum cases were delivered by cesarean section as were 2 intrapartum. 13 (43%) of women delivered vaginally. Only 6 (20%) patients were of low socio-economic status and were primary school educated. Severe maternal complications occurred in 8 (27%), with abruptio placentae being the most common 3 (38%). Incidence of eclampsia was low, with no maternal deaths. MgSO4 was found to be highly effective. Lack of antenatal care is a major risk factor.