Risk factors for severe pre-eclampsia and eclampsia in Mulago Hospital, Kampala, Uganda.
OBJECTIVE
To determine the risk factors for severe pre-eclampsia and eclampsia in Mulago Hospital, Kampala, Uganda.


METHODS
A case control study.


METHODS
Mulago Hospital labour ward


METHODS
One hundread and fourty three women with severe pre-eclampsia/eclampsia and 500 women with normal delivery.


RESULTS
The predictors of severe pre-eclampsia/eclampsia were: low socio - economic status (OR 7.6, 95%CI 3.9 - 26.9), chronic hypertension (OR 26.9, 95% CI 4.3-170.4), family history of hypertension (OR 1.9, 95% CI 1.2-2.9), nulliparity (OR 2.2, 95% CI 1.2-4.3) and delivery of male babies (OR 1.5, 95% CI 1.0 to 2.3).


CONCLUSIONS
Severe pre- eclampsia is one of the main causes of maternal morbidity and mortality in Mulago hospital. The predictors of severe pre - eclampsia were chronic hypertension, family history of hypertension, low socio - economic status, nulliparity and delivering male babies. Health workers need to identify women at risk and offer them counseling and, those who develop pre - eclampsia be referred and managed in hospitals with expertise and facilities. Those who develop severe pre-eclampsia should be delivered immediately so as to reduce the morbidity and mortality associated with this condition.
Walter Sisulu University, Unitra Xl, Mthatha 5117, South Africa.
J
J
Wandabwa
P
P
Doyle
P
P
Kiondo
O
O
Campbell
N
N
Maconichie
G
G
Welishe
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D004461:Eclampsia / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006304:Health Status; D006801:Humans; D011225:Pre-Eclampsia / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D011247:Pregnancy; D012307:Risk Factors; D012959:Socioeconomic Factors; D014454:Uganda; D055815:Young Adult