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Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria

Received: 5 May 2017     Accepted: 15 May 2017     Published: 13 July 2017
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Abstract

Context: Eclampsia contributes significantly to maternal and perinatal mortalities globally. The objective of this study is to review the maternal and foetal outcome of eclampsia in Jos University Teaching Hospital (JUTH), Jos Plateau, Nigeria. Study design: A retrospective study that reviewed records from labour ward and the Medical Records Department, of cases of eclampsia managed at JUTH over a 9 year period from 1st January 2008-31st December, 2016. Results: There were 145 cases of eclampsia out of a total of 17,169 deliveries within the study period, giving a prevalence of 0.84%. It was most common, 22 (24.8%), in the 25-29 year age group. The nulliparous women, 58 (40%) were more commonly affected. The prevalence was higher in the un-booked patients 86 (59.3%), and antepartum eclampsia was the commonest type133 (91.7%). Headache with blurring of vision 106 (73.1%) was the commonest symptom. The case fatality rate was 5.5%, low birth weight was seen in 78 (53.8%) while Perinatal death was 18 (12.4%) Conclusion: Eclampsia occurred mainly in un-booked and primigravid patients in this study. Early registration of pregnant women, especially primigravida, in health facilities for effective antenatal care and supervised hospital delivery will significantly reduce the prevalence and complications of eclampsia.

Published in Journal of Gynecology and Obstetrics (Volume 5, Issue 4)
DOI 10.11648/j.jgo.20170504.11
Page(s) 46-49
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Eclampsia, Pregnancy Outcome, JUTH, Jos Nigeria

References
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[3] Packer CS. Biochemical markers and physiological parameters as indices for identifying patients at risk of developing pre-eclampsia. J Hypertens. 2005; 23 (1): 45–46. doi: 10.1097/00004872-200501000-00011.
[4] Brown MA, Hague WM, Higgins J, Lowe S, McCowan L, Oats J, et al. The detection, investigation and management of hypertension in pregnancy: full consensus statement. Aust N Z J Obstet Gynaecol. 2000 May; 40 (2): 139–55.
[5] Sibai BM. Diagnosis and management of gestational hypertension and preeclampsia. Obstet Gynecol. 2003 Jul; 102 (1): 181–92.
[6] Ujah IAO, Obi N, Mutihir JT, and Aisien OA. Seasonal pattern of Eclampsia in Northern Nigeria Trop J Obste Gynaecol, 2002; 19 (2): S19.
[7] Jido TA Eclampsia: maternal and fetal outcome Afr Health Sci. 2012 Jun; 12 (2): 148-52. doi: 10.4314/ahs.v12i2.11.
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[9] Tukur, J, Umar BA, Rabi’u A. Pattern of eclampsia in a tertiary health facility situated in a semi-rural town in northern Nigeria, 2007; 6 (4): 164-167.
[10] Adinma E. D Pattern of clinical presentation of eclampsia at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeastern Nigeria. Niger J Med. 2012 Jul-Sep; 21 (3): 313-6.
[11] Onyearugha CN, Ugboma HA Fetal outcome of antepartum and intrapartum eclampsia in Aba, southeastern Nigeria. Trop Doct. 2012 Jul; 42 (3): 129-32. doi: 10.1258/td.2012.110206. Epub 2012 Apr 3.
[12] Okogbenin SA, Eigbefoh JO, Omorogbe F, Okogbo F, Okonta PI, Ohihoin AG. Eclampsia in Irrua Specialist Teaching Hospital: a five-year review. Niger J Clin Pract. 2010 Jun; 13 (2): 149-53.
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[14] World Health Organisation, author. A joint WHO/UNFPA/UNICEF and World bank statement. Geneva: WHO; 1999. Reduction of maternal mortality.
[15] WHO, UNICEF, UNFPA, World Bank Group & the United Nations Population Division. (2015). Trends in Maternal Mortality: 1990 – 2015. Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: WHO.
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[18] Y. M Adamu, B. A Salihu, N. Sathiakumar, and R. Alexanderrt, Maternal mortality in Northern Nigeria: a population based study, Eur J Obstet Gynaecol Rep BioI, 109 (2003).
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Cite This Article
  • APA Style

    Anyaka Charles, Pam Victor, Karshima Jonathan, Pam Ishaya. (2017). Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria. Journal of Gynecology and Obstetrics, 5(4), 46-49. https://doi.org/10.11648/j.jgo.20170504.11

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    ACS Style

    Anyaka Charles; Pam Victor; Karshima Jonathan; Pam Ishaya. Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria. J. Gynecol. Obstet. 2017, 5(4), 46-49. doi: 10.11648/j.jgo.20170504.11

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    AMA Style

    Anyaka Charles, Pam Victor, Karshima Jonathan, Pam Ishaya. Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria. J Gynecol Obstet. 2017;5(4):46-49. doi: 10.11648/j.jgo.20170504.11

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  • @article{10.11648/j.jgo.20170504.11,
      author = {Anyaka Charles and Pam Victor and Karshima Jonathan and Pam Ishaya},
      title = {Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {5},
      number = {4},
      pages = {46-49},
      doi = {10.11648/j.jgo.20170504.11},
      url = {https://doi.org/10.11648/j.jgo.20170504.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20170504.11},
      abstract = {Context: Eclampsia contributes significantly to maternal and perinatal mortalities globally. The objective of this study is to review the maternal and foetal outcome of eclampsia in Jos University Teaching Hospital (JUTH), Jos Plateau, Nigeria. Study design: A retrospective study that reviewed records from labour ward and the Medical Records Department, of cases of eclampsia managed at JUTH over a 9 year period from 1st January 2008-31st December, 2016. Results: There were 145 cases of eclampsia out of a total of 17,169 deliveries within the study period, giving a prevalence of 0.84%. It was most common, 22 (24.8%), in the 25-29 year age group. The nulliparous women, 58 (40%) were more commonly affected. The prevalence was higher in the un-booked patients 86 (59.3%), and antepartum eclampsia was the commonest type133 (91.7%). Headache with blurring of vision 106 (73.1%) was the commonest symptom. The case fatality rate was 5.5%, low birth weight was seen in 78 (53.8%) while Perinatal death was 18 (12.4%) Conclusion: Eclampsia occurred mainly in un-booked and primigravid patients in this study. Early registration of pregnant women, especially primigravida, in health facilities for effective antenatal care and supervised hospital delivery will significantly reduce the prevalence and complications of eclampsia.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Eclampsia and Pregnancy Outcome at Jos University Teaching Hospital, Jos, Plateau State, Nigeria
    AU  - Anyaka Charles
    AU  - Pam Victor
    AU  - Karshima Jonathan
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    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    EP  - 49
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20170504.11
    AB  - Context: Eclampsia contributes significantly to maternal and perinatal mortalities globally. The objective of this study is to review the maternal and foetal outcome of eclampsia in Jos University Teaching Hospital (JUTH), Jos Plateau, Nigeria. Study design: A retrospective study that reviewed records from labour ward and the Medical Records Department, of cases of eclampsia managed at JUTH over a 9 year period from 1st January 2008-31st December, 2016. Results: There were 145 cases of eclampsia out of a total of 17,169 deliveries within the study period, giving a prevalence of 0.84%. It was most common, 22 (24.8%), in the 25-29 year age group. The nulliparous women, 58 (40%) were more commonly affected. The prevalence was higher in the un-booked patients 86 (59.3%), and antepartum eclampsia was the commonest type133 (91.7%). Headache with blurring of vision 106 (73.1%) was the commonest symptom. The case fatality rate was 5.5%, low birth weight was seen in 78 (53.8%) while Perinatal death was 18 (12.4%) Conclusion: Eclampsia occurred mainly in un-booked and primigravid patients in this study. Early registration of pregnant women, especially primigravida, in health facilities for effective antenatal care and supervised hospital delivery will significantly reduce the prevalence and complications of eclampsia.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • Department of Obstetrics and Gynaecology, University of Jos / Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos / Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos / Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos / Jos University Teaching Hospital, Jos, Nigeria

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