Author(s)

Tidiani Traoré^1*, Cheickna Sylla², Kassoum Sidibé¹, Babou Traoré¹, Sylvain Guindo¹, Adama Coulibaly¹, Seydina A. Beye¹, Seydou Z. Dao³, Famakan Kané⁴, Youssouf Traoré⁵, Ibrahima Téguété⁵, Moustaphe Touré⁶

¹Department of Gynecology and Obstetrics, NianankoroFomba Hospital, Ségou, Mali.
²Department of Gynecology and Obstetrics, Reference Health Centre in Koutiala, Sikasso, Mali.
³Department of Gynecology and Obstetrics, Reference Health Centre of Commune II, Bamako, Mali.
⁴Department of Gynecology and Obstetrics, Reference Health Centre in Bla, Ségou, Mali.
⁵Department of Gynecology and Obstetrics, Gabriel TOURE University Hospital Center, Bamako, Mali.
⁶Department of Gynecology and Obstetrics, University Hospital Center of the Mali Hospital, Bamako, Mali.

Aim: To describe the epidemiological, therapeutic and prognostic aspects of eclampsia at the second reference hospital in the urban commune of Ségou in Mali. Patient and Methods: This was a descriptive, cross-sectional, analytical, retrospective and prospective study based on a comprehensive de-engineering. It covered a 3-year period from January 1, 2010 to December 31, 2012 and involved 176 cases. Results: The incidence of eclampsia during the study period was 2.9%. Classically, it occurred in 74.4% in young primigeste, in 73.9% in the 3^rd trimester of pregnancy and 26.1% of cases during postpartum. We recorded maternal complications such as retro-placental hematoma, acute kidney failure and delivery hemorrhage. The case fatality rate was 2.3% or 4 cases of maternal death. At the fetal level, there was 29.5% prematurity, 31.8% neonatal suffering, 11.4% hypotrophy, 11.9% in utero fetal death and 7.4% early neonatal death. Conclusion: The maternal-fetal prognosis remains reserved despite the progress made in the management of eclampsia in our services.

Pronostic, Maternal, Fetal, Eclampsia, Unsealed Pregnancy

Traoré, T. , Sylla, C. , Sidibé, K. , Traoré, B. , Guindo, S. , Coulibaly, A. , Beye, S. , Dao, S. , Kané, F. , Traoré, Y. , Téguété, I. and Touré, M. (2020) Maternal-Fetal Prognosis of Eclampsia at the Second Reference Hospital in the Urban Commune of Segou in Mali. Open Journal of Obstetrics and Gynecology, 10, 1414-1429. doi: 10.4236/ojog.2020.10100130.