Epidemiological profile and management of eclampsia in Senegal: about 62 cases

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The aim of this retrospective, descriptive study was to evaluate the epidemiological and clinical features of pre-eclampsia and to assess the care and maternal and perinatal outcome. Data for 3 years (2007-2010) were collected in the Department of Obstetrics and Gynaecology of Dakar (Senegal). The inclusion criterion was any seizure during gravido-puerperal in the context of pre-eclampsia. A total of 4587 deliveries was obtained; 62 cases of eclampsia were recorded representing an incidence of 1.35%. The profile found was that of a young woman (24 years), primiparous (58.1%) living in the suburbs of Dakar (83.8%), carrying a pregnancy to term (56.5%), followed by poor health (82.3%) and referred a position surrounding health (82.3%). The crisis occurred in antepartum and postpartum periods in 72.5% and 27.5%, respectively. All patients had hypertension; oedema and proteinuria were found in 72.5% and 84%, respectively. The majority of patients (88%) presented more than 2 seizures and status epilepticus. Eclampsia was found in 14.5% of cases. Magnesium sulfate was used in all patients. Caesarean section was the widely adopted mode of delivery (75.5%) of patients received antepartum. Maternal prognosis was marked by death. Results confirm that eclampsia is a public health problem in developing countries. The main risk factors are primiparity and age. The administration of magnesium sulfate and caesarean section can improve maternal and fetal prognosis. Prevention necessarily involves prenatal care quality.




Diouf, A. A. ziz, Diallo, M., Mbaye, M., Sarr, S. D. iarra, Faye-Diémé, M. E. douard, Moreau, J. C. harles, & Diouf, A. (2013). Epidemiological profile and management of eclampsia in Senegal: about 62 cases. The Pan African Medical Journal, 16, 83. https://doi.org/10.11604/pamj.2013.16.83.3101

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