DOI: 10.36347/sjams.2021.v09i09.003

Pages: 1336-1338

The aims of this study were to analyze the epidemiological aspects and evaluate management of eclampsia in our gynaeco-obstetrics department. It’s a retrospective descriptive study of data for 144 cases of eclampsia admitted in our service from 1st January 2011 to 31 December 2014. During this period, among 10997 hospitalizations, we have collected 144 cases of eclampsia, accounting for 1, 30% of frequency. Patient mean age was 21ans. They were generally housewife (76%) and nulliparous (41%). Sixty percent of patients had BASP ≥ 110 mmHg. Eclampsia crisis happened to pregnant women during antepartum moment in 27% of patients, per-partum period in 29% and in post-partum period for 44%. Magnesium sulphate and nicardipin were the most used anticonvulsant and hypotensive drugs. Cesarean section was carried out in 48% of patients. Maternal complications (09 cases) were essentially: acute kidney failure (4 cases), Repeated eclampsia crisis (3cases), RPH (3cases) le Hellp’s syndrome (1 case), APO (1 case). Maternal lethality rate was 7%. Still birth rate was 22, 9%. Eclampsia is a frequent pathology in our activities. It’s always leading to complications who could affect mother and child health state, either their life. Early detection follow by multidisciplinary and adequate management is the only way to improve the prognostic of the couple mother-child.