Prevalence, management and outcome in eclampsia.
OBJECTIVE
To review the management of eclampsia in our institution.


METHODS
The prevalence, management and outcome of women with eclampsia over a period of 8 years were reviewed at our referral medical center. There were 444 patients with eclampsia among 5757 deliveries (1 in 12.96 deliveries or 7.71% of deliveries). Most of the cases were uneducated and had received no antenatal care. One hundred eighty-one cases were nulliparous (40.77%). High parities of more than five were observed in 27.93% of cases. A standard magnesium sulfate regimen, similar to Prichard's intramuscular regimen, was used.


RESULTS
Magnesium sulfate effectively controlled the convulsions. The incidence of abdominal delivery among 397 cases with ante- and intrapartum eclampsia was 50.12%. Perinatal mortality was very high (591.47% 0) for all cases. Maternal complications were serious and led to maternal death in 42 women (9.46%).


CONCLUSIONS
Eclampsia is still a serious obstetric complication particularly in uneducated women who do not receive antenatal care.
Taner
C E
CE
Department of Obstetrics and Gynecology, Dicle University, Diyarbakir, Turkey.
Hakverdi
A U
AU
Aban
M
M
Erden
A C
AC
Ozelbaykal
U
U
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002585:Cesarean Section; D004461:Eclampsia / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D005865:Gestational Age; D006801:Humans; D010298:Parity; D011247:Pregnancy; D011256:Pregnancy Outcome; D015995:Prevalence; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology