Evaluation of Maternal Complications in Severe Preeclampsia in a University Hospital in Tirana.
BACKGROUND
Preeclampsia is a hypertensive multisystem disorder of pregnancy that complicates up to 10% of pregnancies worldwide and is one of the leading causes of maternal and perinatal morbidity and mortality.


OBJECTIVE
To evaluate maternal complications associated with severe preeclampsia.


METHODS
This is a retrospective cross-sectional study conducted in the UHOG "Koço Gliozheni", in Tirana. Primary outcomes evaluated: maternal death, eclampsia, stroke, HELLP syndrome, and pulmonary edema.


RESULTS
renal failure, admission in ICU, caesarean section, placental abruption, and postpartum hemorrhage. Fisher's exact test and Chi-squared test were used as statistical methods.


RESULTS
In women with severe preeclampsia we found higher rates of complications comparing to the group with preeclampsia. Eclampsia (1.5% vs. 7.1%, P < 0.001), HELLP syndrome (2.4% vs. 11.0%; P < 0.001), stroke (0.5% vs 1.9%, P = 0.105) pulmonary edema (0.25% vs. 1.3%, P = 0.0035), renal failure (0.9% vs. 2.6%, P = 0.107), admission in ICU (19.5% vs. 71.4%, P = 0.007), caesarean section rates (55.5% vs. 77%, P = 0.508), placental abruption (4.3% vs. 7.8%, P = 0.103) and severe postpartum hemorrhage (3.2% vs. 3.9%, P = 0.628).


CONCLUSIONS
Severe preeclampsia is associated with high rates of maternal severe morbidity and early diagnosis and timely intervention can prevent life treating complications.
University Hospital of Obstetrics and Gynecology "Koço Gliozheni", Tirana, Albania.
Eriseida
E
Ndoni
Italian Clinic "San Antonio", Tirana, Albania.
Redi
R
Hoxhallari
University Hospital of Obstetrics and Gynecology "Koço Gliozheni", Tirana, Albania.
Astrit
A
Bimbashi
HELLP syndrome; eclampsia; maternal outcome; pulmonary edema; severe preeclampsia; stroke