TITLE:
Maternal-Fetal Prognosis of Eclampsia at the Second Reference Hospital in the Urban Commune of Segou in Mali
AUTHORS:
Tidiani Traoré, Cheickna Sylla, Kassoum Sidibé, Babou Traoré, Sylvain Guindo, Adama Coulibaly, Seydina A. Beye, Seydou Z. Dao, Famakan Kané, Youssouf Traoré, Ibrahima Téguété, Moustaphe Touré
KEYWORDS:
Pronostic, Maternal, Fetal, Eclampsia, Unsealed Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.10,
October
20,
2020
ABSTRACT: 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 3rd 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.