title: PP082. Eclampsia in flanders: A comparative study between flanders, United Kingdom and The Netherlands.
abstract: BACKGROUND
  Eclampsia fulfills the European criteria of "uncommon medical conditions".
  
  
  OBJECTIVE
  To describe eclampsia in Flanders and compare the results with data of United Kingdom Obstetric Surveillance System (UKOSS) and a similar study in the Netherlands. Methods Between January and December 2012 each maternity hospital in Flanders was contacted monthly to learn whether a case of eclampsia had occurred. For each reported case an extensive questionnaire was completed. The obtained data were analyzed using the IBM-SPSSvs20 and BMJ-CIA programs.
  
  
  RESULTS
  Over 95% of all maternity hospitals in Flanders participated. In 2012, 16 eclampsia cases were reported (incidence 2.3/10,000). Data of 14/16 cases could be used for analysis. No maternal or perinatal death occurred. In 71.4% (10/14;95%CI:45.4-88.3%) the gestational age at time of delivery was <37 weeks; in 28.6% (4/14;95%CI:11.7-54.6%) the insult occurred after the delivery; 50.00% (7/14;95%CI:26.8-73.2%) of the patients was primigravida and 28.6% (4/14;95%CI:11.7-54.6%) was negroid. Data presented in the table below summarize the findings of the last medical examination preceding the insult (n=13, insufficient data in 1 case).
  
  
  CONCLUSIONS
  The incidence of eclampsia in Flanders is comparable to that of the UK (2.7/10,000) and is 2.7 times smaller than that of the Netherlands (6.2/10.000). Proteinuria was not tested in 9. In 5 of 14 no clear alert sign was seen at the last observation compared to 10.8% and 21% in Ndl and UK.
authors.forename: Myriam
authors.initials: M
authors.lastname: Hanssens