[Critical analysis of hemostasis disorders in the course of eclampsia. Report of 106 cases].
OBJECTIVE
Study of hemostatic disorders during eclampsia, their risk factors, maternal complications and associated mortality.


METHODS
Retrospective study concerning 106 cases of severe eclampsia treated in intensive care between September 1992 and December 96. Patients with or without hemostatic disorders were compared for laboratory findings, maternal complications and mortality.


RESULTS
Forty patients had hemostasis disorders as follows: isolated thrombopenia in 19 cases, disseminated intravascular coagulation (DIC) in 5 cases, Hellp syndrome associated to DIC in 7 cases and Hellp syndrome in 9 cases. Hemostasis disorders were associated to maternal advanced age, but not with gestational age or blood pressure in admission or time of convulsions. Complications and mortality associated with hemostasis disorders were more frequent compared to patients without hemostasis disorders. Among the 17 deaths of our series, 10 had hemostasis disorders.


CONCLUSIONS
Hemostasis disorders were prognosis factors in eclampsia requiring systematic laboratory tests at admission and immediate delivery.
Mjahed
K
K
CHU Ibn Rochd, Casablanca, Maroc.
Hammamouchi
B
B
Hammoudi
D
D
Harti
A
A
Miguil
M
M
Barrou
L
L
D000328:Adult; D016009:Chi-Square Distribution; D004461:Eclampsia / Q000150:complications*; D005260:Female; D020141:Hemostatic Disorders / Q000150:complications / Q000453:epidemiology* / Q000401:mortality; D006801:Humans; D015994:Incidence; D008428:Maternal Mortality; D009018:Morocco / Q000453:epidemiology; D011247:Pregnancy; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors
Analyse critique des troubles de l'hémostase au cours de l'éclampsie. A propos de 106 cas.