[Eclampsia perinatal mortality at the Tokoin University Hospital Center (Lome-Togo): report on 91 newborns].
A one-year (January 1-december 31, 1998) case control study was carried out at the Gynaecology and Obstetrics ward and at the Paediatrics ward of the Lomé-Tokoin Teaching Hospital (Togo). Through following parameters (delivery, sex, pregnancy age at delivery, birth weight, early neonate period issue, moment and number of fits) newborns from 89 mothers with eclampsia were compared to those from 445 pregnant women without high blood pressure admitted during the study period. After every woman with eclampsia (study group) the five following without high blood pressure (control group) were included in the study. Relative risk (95% confidence interval) and chi 2-test (5% significant degree) were calculated in the comparison of some parameters.


RESULTS
The perinatal mortality rate was 28.6% (26 out of 91 newborns) in the study group versus 8.8% (44 out of 455) in the control group (relative risk = 2.91; chi 2 = 27.87; p = 0.0001). Birth weight, pregnancy age at delivery and fits number before delivery influenced significantly perinatal mortality rate; meanwhile the lower was the relative risk of eclamptic fits onset, the more frequent were ante-natal visits.


CONCLUSIONS
The perinatal mortality rate due to eclamptic might be reduced through frequent ante-natal visits, sustained ante- and post-natal care specially adequate management of eclamptic patients and their newborns.
Baeta
Séname
S
Service I, Pédiatrie, CHU-Tokoin.
Agbere
Abdourahmane Diparidé
AD
Noutsougan
Yawo
Y
Napo-Koura
Agarassi
A
Assimadi
Kossi
K
D001724:Birth Weight; D016022:Case-Control Studies; D036861:Delivery, Obstetric / Q000379:methods; D004461:Eclampsia / Q000150:complications* / Q000628:therapy; D005260:Female; D005865:Gestational Age; D006784:Hospitals, Teaching; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D012307:Risk Factors; D014037:Togo / Q000453:epidemiology