title: Adverse neonatal outcomes in women with pre-eclampsia in Mulago Hospital, Kampala, Uganda: a cross-sectional study.
abstract: BACKGROUND
  Pre-eclampsia, which is more prevalent in resource-limited settings, contributes significantly to maternal, fetal and neonatal morbidity and mortality. However, the factors associated with these adverse outcomes are poorly understood in low resource settings. In this paper we examine the risk factors for adverse neonatal outcomes among women with pre-eclampsia at Mulago Hospital in Kampala, Uganda.
  
  
  METHODS
  Pre-eclampsia, which is more prevalent in resource-limited settings, contributes significantly to maternal, fetal and neonatal morbidity and mortality. However, the factors associated with these adverse outcomes are poorly understood in low resource settings. In this paper we examine the risk factors for adverse neonatal outcomes among women with pre-eclampsia at Mulago Hospital in Kampala, Uganda.
  
  
  RESULTS
  Predictors of adverse neonatal outcomes were: preterm delivery (OR 5.97, 95% CI: 2.97-12.7) and severe pre-eclampsia (OR 5.17, 95% CI: 2.36-11.3).
  
  
  CONCLUSIONS
  Predictors of adverse neonatal outcomes among women with pre-eclampsia were preterm delivery and severe pre-eclampsia. Health workers need to identify women at risk, offer them counseling and, refer them if necessary to a hospital where they can be managed successfully. This may in turn reduce the neonatal morbidity and mortality associated with pre-eclampsia.
authors.affiliation: Makerere University College of Health Sciences, P.O Box 7072, Kampala, Uganda.
authors.forename: Paul
authors.initials: P
authors.lastname: Kiondo
authors.affiliation: Makerere University College of Health Sciences, P.O Box 7072, Kampala, Uganda.
authors.forename: Nazarius Mbona
authors.initials: NM
authors.lastname: Tumwesigye
authors.affiliation: Department of Obstetrics and Gynaecology, Walter Sisulu University, Private Bag X1, Mthatha, 5117, South Africa.
authors.forename: Julius
authors.initials: J
authors.lastname: Wandabwa
authors.affiliation: Makerere University College of Health Sciences, P.O Box 7072, Kampala, Uganda.
authors.forename: Gakenia
authors.initials: G
authors.lastname: Wamuyu-Maina
authors.affiliation: Makerere University College of Health Sciences, P.O Box 7072, Kampala, Uganda.
authors.forename: Gabriel S
authors.initials: GS
authors.lastname: Bimenya
authors.affiliation: Department of Reproductive Health, Uganda Christian University, P.O Box 4, Mukono, Uganda.
authors.forename: Pius
authors.initials: P
authors.lastname: Okong
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D046689:Fetal Mortality; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008428:Maternal Mortality; D011225:Pre-Eclampsia / Q000453:epidemiology* / Q000503:physiopathology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D047928:Premature Birth / Q000453:epidemiology*; D012307:Risk Factors; D014454:Uganda / Q000453:epidemiology; D055815:Young Adult
keywords: Mulago hospital; Risk factors; Uganda; adverse neonatal outcomes; pre-eclampsia