title: Maternal and perinatal outcome of eclampsia over a decade at a tertiary hospital in Kuwait.
abstract: To determine maternal and perinatal outcome of eclampsia patients over a decade.
  
  
  
  Analysis of case records of all eclampsia cases from January 2005 to December 2014.
  
  
  
  There were 30 cases of eclampsia. The most significant risk factors for developing pre-eclampsia are unbooked cases (97%), nulliparity, young age, marriage ≤4 months, history of pre-eclampsia in previous pregnancy, remarriage, preexisting diabetes mellitus, interval between pregnancies ≥10 years, positive family history. The incidence of eclampsia was 0.05%, antepartum eclampsia 15 (50%), intrapartum 6 (20%) and postpartum 9 (30%) with no maternal deaths, and 1 perinatal death. Perinatal mortality was 33.3/1000. 22 (73%) patients received magnesium sulphate (MgSO4) and 8 patients (27%) received Diazepam, of which 1 had recurrence of convulsions. All 15 antepartum cases were delivered by cesarean section as were 2 intrapartum. 13 (43%) of women delivered vaginally. Only 6 (20%) patients were of low socio-economic status and were primary school educated. Severe maternal complications occurred in 8 (27%), with abruptio placentae being the most common 3 (38%).
  
  
  
  Incidence of eclampsia was low, with no maternal deaths. MgSO4 was found to be highly effective. Lack of antenatal care is a major risk factor.
authors.affiliation: a Department of Obstetrics & Gynaecology , Faculty of Medicine, Kuwait University , Kuwait City , Kuwait and.|b Department of Obstetrics & Gynaecology , Al-Adan Hospital , Kuwait.
authors.forename: Rachana
authors.initials: R
authors.lastname: Chibber
authors.affiliation: b Department of Obstetrics & Gynaecology , Al-Adan Hospital , Kuwait.
authors.forename: Jassim
authors.initials: J
authors.lastname: Al-Hijji
authors.affiliation: b Department of Obstetrics & Gynaecology , Al-Adan Hospital , Kuwait.
authors.forename: Ali
authors.initials: A
authors.lastname: Amen
authors.affiliation: b Department of Obstetrics & Gynaecology , Al-Adan Hospital , Kuwait.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Fouda
authors.affiliation: b Department of Obstetrics & Gynaecology , Al-Adan Hospital , Kuwait.
authors.forename: Zeinab Mohammed
authors.initials: ZM
authors.lastname: Kaleemullah
authors.affiliation: a Department of Obstetrics & Gynaecology , Faculty of Medicine, Kuwait University , Kuwait City , Kuwait and.
authors.forename: Eyad
authors.initials: E
authors.lastname: El-Saleh
authors.affiliation: a Department of Obstetrics & Gynaecology , Faculty of Medicine, Kuwait University , Kuwait City , Kuwait and.
authors.forename: Asiya Tasneem
authors.initials: AT
authors.lastname: Mohammed
mesh_terms: D000293:Adolescent; D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D003975:Diazepam / Q000627:therapeutic use; D005260:Female; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007730:Kuwait / Q000453:epidemiology; D008137:Longitudinal Studies; D008278:Magnesium Sulfate / Q000627:therapeutic use; D008428:Maternal Mortality; D054238:Perinatal Mortality; D011225:Pre-Eclampsia / Q000453:epidemiology* / Q000401:mortality; D011247:Pregnancy; D011295:Prenatal Care; D012189:Retrospective Studies; D012307:Risk Factors; D012640:Seizures / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000927:Anticonvulsants; D008278:Magnesium Sulfate; D003975:Diazepam
keywords: Antenatal care; magnesium sulphate; risk factors