title: Pattern of clinical presentation of eclampsia at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeastern Nigeria.
abstract: BACKGROUND
  Eclampsia contributes significantly to maternal and perinatal mortalities globally. The objective of this study is to review the pattern of Eclampsia in Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Nigeria.
  
  
  METHODS
  A retrospective study that reviewed records from labour ward and the Medical Records Department, of cases of Eclampsia managed at NAUTH over a ten year period 1st January-31st December, 2009.
  
  
  RESULTS
  There were 57 cases of Eclampsia out of a total of 6,262 deliveries within the study period, giving a prevalence of 0.91%. The highest prevalence of 0.24% occurred in 2009. It was most common, 14 (30.4%), in the 25-29 year age group. The nulliparous women, 28 (61%) were more commonly affected. The prevalence was higher in the un-booked patients (89%), and antepartum Eclampsia was the commonest type (76%). Twenty one (45.7%) patients had three or more convulsions prior to the institution of therapy. Headache, oedema, and blurring of vision were the commonest symptoms, 74%, 71%, and 65% respectively.
  
  
  CONCLUSIONS
  Eclampsia occurred mainly in un-booked and primigravid patients in this study. Early registration of pregnant women, especially primigravid, in health facilities for effective antenatal care and supervised hospital delivery will significantly reduce the prevalence and complications of Eclampsia.
authors.affiliation: Department of Community Medicine, Faculty of Medicine, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Nigeria. drechenduadinma@yahoo.com
authors.forename: E D
authors.initials: ED
authors.lastname: Adinma
authors.forename: D A
authors.initials: DA
authors.lastname: Echendu
mesh_terms: D000328:Adult; D000367:Age Factors; D001071:Appointments and Schedules; D004461:Eclampsia / Q000453:epidemiology*; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D010298:Parity; D011247:Pregnancy; D011295:Prenatal Care; D015995:Prevalence; D012189:Retrospective Studies; D055815:Young Adult