title: Perinatal outcome in singleton pregnancies complicated with preeclampsia and eclampsia in Ecuador.
abstract: Preeclampsia in Ecuador is an understudied subject since available epidemiological data are scarce. The aim of this study was to describe perinatal outcomes among singleton pregnancies complicated with preeclampsia and eclampsia in a sample of low-income Ecuadorian women. Pregnant women complicated with preeclampsia (mild and severe) and eclampsia (defined according to criteria of the ACOG) delivering at the Enrique C. Sotomayor Obstetrics and Gynecology Hospital, Guayaquil, Ecuador were surveyed with a structured questionnaire containing maternal (socio-demographic) and neonatal data. Perinatal outcomes were compared according to severity of clinical presentation. A total of 163 women with preeclampsia [mild (23.9%), severe (68.7%) and eclampsia (7.4%)] were surveyed. Perinatal mortality and stillbirth rate was similar among studied groups (mild vs. severe preeclampsia/eclampsia cases). However, severe cases displayed higher rates of adverse perinatal outcomes: lower birth Apgar scores, more preterm births, and more low birth weight and small for gestational age infants. Caesarean-section rate and the number of admissions to intensive or intermediate neonatal care were higher in severe cases. A similar trend was found when analysis excluded preterm gestations. In conclusion, in this specific low-income Ecuadorian population perinatal outcome was adverse in pregnancies complicated with severe preeclampsia/eclampsia.
authors.affiliation: a Academic Medical Centre Amsterdam , University of Amsterdam , Amsterdam , the Netherlands .
authors.forename: K Y N
authors.initials: KY
authors.lastname: Phoa
authors.affiliation: b High Risk Pregnancy Labor and Delivery Unit , Enrique C. Sotomayor Obstetrics and Gynecology Hospital , Guayaquil , Ecuador .|c Institute of Biomedicine, Research Area for Women's Health, Facultad De Ciencias Médicas, Universidad Católica De Guayaquil , Guayaquil , Ecuador .
authors.forename: P
authors.initials: P
authors.lastname: Chedraui
authors.affiliation: d Department of Obstetrics and Gynecology, Facultad De Medicina , Lozano Blesa University Hospital, Universidad De Zaragoza , Zaragoza , Spain .
authors.forename: F R
authors.initials: FR
authors.lastname: Pérez-López
authors.affiliation: e Department of Social Medicine , Academic Medical Centre Amsterdam , Amsterdam , the Netherlands , and.
authors.forename: J F
authors.initials: JF
authors.lastname: Wendte
authors.affiliation: a Academic Medical Centre Amsterdam , University of Amsterdam , Amsterdam , the Netherlands .
authors.forename: S
authors.initials: S
authors.lastname: Ghiabi
authors.affiliation: e Department of Social Medicine , Academic Medical Centre Amsterdam , Amsterdam , the Netherlands , and.
authors.forename: T
authors.initials: T
authors.lastname: Vrijkotte
authors.affiliation: f Neonatal Department , Enrique C. Sotomayor Obstetrics and Gynecology Hospital , Guayaquil , Ecuador.
authors.forename: P
authors.initials: P
authors.lastname: Pinto
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data; D004461:Eclampsia; D004484:Ecuador / Q000453:epidemiology; D005260:Female; D005316:Fetal Distress / Q000453:epidemiology / Q000209:etiology; D005865:Gestational Age; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D016104:Oligohydramnios / Q000453:epidemiology / Q000209:etiology; D054238:Perinatal Mortality; D011203:Poverty / Q000706:statistics & numerical data; D011225:Pre-Eclampsia; D011247:Pregnancy; D011256:Pregnancy Outcome; D047928:Premature Birth / Q000453:epidemiology / Q000209:etiology
keywords: Ecuador; Preeclampsia; eclampsia; low income; perinatal mortality; perinatal outcome