title: [Hepatitis and pregnancy in Tunis. 103 cases compared with 100 cases who were not pregnant (author's transl)].
abstract: The authors have reviewed the notes of 103 pregnant women who contracted hepatitis during pregnancy and compared it with a controlled series of hepatitis occurring in 100 women who were not pregnant but were of reproductive age. The mortality rate in the pregnant group was considerably higher than in those who were not pregnant--27 deaths out of 103 cases as against 4 deaths in the control series of 100 cases. The fetal prognosis was very bad in the group of women who died. 3 out of 4 pregnancies resulted in loss of the fetus. It was less bad in those who had mild hepatitis--39.3% lost the fetus and one out of two pregnancies had a premature labour. Loss of consciousness was a very bad prognostic sign. The prognostic value of marked drop in prothrombin and raised white blood counts is emphasized in the cases who died. When the series of women who were pregnant and who survived is compared with those who survived in the control group, the authors found that judgment had to be used carefully in evaluating the prodromal signs in the pregnant women. They found in the two groups that the haemoglobin level and the serial levels of protein and albumen are comparable to those found in developed countries. They conclude that their maternal mortality due to hepatitis was comparable to that reported in underprivileged countries but that "malnutrition" in the broader sense of the term does not explain the serious state of affairs.
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005313:Fetal Death / Q000453:epidemiology / Q000209:etiology; D005865:Gestational Age; D006501:Hepatic Encephalopathy / Q000150:complications; D006505:Hepatitis / Q000453:epidemiology / Q000401:mortality*; D006801:Humans; D007231:Infant, Newborn; D008423:Maternal Age; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000401:mortality*; D011379:Prognosis; D014416:Tunisia
vernacular_title: Hépatite et grossesse à Tunis. A propos de 103 cas comparés à 100 cas en dehors de la grossesse.