title: The incidence of preeclampsia and eclampsia and associated maternal mortality in Australia from population-linked datasets: 2000-2008.
abstract: OBJECTIVE
  To determine the incidence of preeclampsia and eclampsia and associated mortality in Australia between 2000 and 2008.
  
  
  METHODS
  Analysis of statutorily collected datasets of singleton births in New South Wales using International Classification of Disease coding. Analyzed using cross tabulation, logistic regression, and means testing, where appropriate.
  
  
  RESULTS
  The overall incidence of preeclampsia was 3.3% with a decrease from 4.6% to 2.3%. The overall rate of eclampsia was 8.6/10,000 births or 2.6% of preeclampsia cases, with an increase from 2.3% to 4.2%. The relative risk of eclampsia in preeclamptic women in 2008 was 1.9 (95% confidence interval, 1.28-2.92) when compared with the year 2000. The relative risk of a woman with preeclampsia/eclampsia dying in the first 12 months following birth compared with normotensive women is 5.1 (95% confidence interval, 3.07-8.60).
  
  
  CONCLUSIONS
  Falling rates of preeclampsia have not equated to a decline in the incidence of eclampsia. An accurate rate of both preeclampsia and eclampsia is vital considering the considerable contribution that these diseases make to maternal mortality. The identification and treatment of eclampsia should remain a priority in the clinical setting.
authors: School of Medicine, University of Western Sydney, Sydney, NSW, Australia. c.thornton@uws.edu.au
authors: Charlene
authors: C
authors: Thornton
authors: Hannah
authors: H
authors: Dahlen
authors: Andrew
authors: A
authors: Korda
authors: Annemarie
authors: A
authors: Hennessy
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D016208:Databases, Factual; D004461:Eclampsia / Q000453:epidemiology* / Q000401:mortality; D005260:Female; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D007226:Infant Mortality; D007231:Infant, Newborn; D008423:Maternal Age; D008428:Maternal Mortality / Q000639:trends*; D010298:Parity; D011225:Pre-Eclampsia / Q000453:epidemiology* / Q000401:mortality; D011247:Pregnancy; D012042:Registries; D012306:Risk; D055815:Young Adult