Annals of African Medicine

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 16  |  Issue : 4  |  Page : 175--180

Eclampsia in rural Nigeria: The unmitigating catastrophe


Chidi Ochu Uzoma Esike1, Ukaegbe Ikechi Chukwuemeka1, Okechukwu Bonaventure Anozie1, Justus Ndulue Eze1, Obioma Christian Aluka2, Deirdre Eilleen Twomey3 
1 Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
2 Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Abia State, Nigeria
3 Mile 4 Maternity Hospital, Abakaliki, Ebonyi State, Nigeria

Correspondence Address:
Chidi Ochu Uzoma Esike
Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Ebonyi State
Nigeria

Introduction: Eclampsia is one of the most dreaded causes of adverse outcomes of pregnancy worldwide. It is one of the greatest causes of maternal and perinatal morbidity and mortality world over. We do not know the prevalence, management outcome, and the devastation caused by this dreaded disease in our center hence the need for this work. Materials and Methods: This is a 7-year retrospective review of all cases of eclampsia managed in Mater Misericordiae Hospital Afikpo, a rural secondary cum referral Catholic Mission Hospital in Afikpo, Ebonyi State in Southeastern Nigeria. Results: The prevalence of eclampsia in our center is 1.12% or one case of eclampsia for every 89 women that delivered in our facility. The majority of the women that had eclampsia in our center 56 (71.8%) were primigravidae. Seventeen women (21.8%) had various antenatal complications with 4 or 23.6% presenting with intrauterine fetal deaths and two (11.8%) each with intrauterine growth restriction, and domestic violence, respectively. Thirty-five or 44.9% of the women were delivered by emergency lower segment cesarean section. Fifteen or 17.9% babies were dead giving a perinatal mortality rate of 174 per 1,000After delivery, and 3 (3.8%) of the women had postpartum hemorrhage. Two women (2.6%) died giving a maternal mortality ratio of 2564 per 100,000 deliveries. Conclusion: Eclampsia is a dreaded obstetric disease with adverse fetal and maternal consequences that are not mitigating, and no effort should be spared in managing it effectively including public enlightenment.


How to cite this article:
Esike CO, Chukwuemeka UI, Anozie OB, Eze JN, Aluka OC, Twomey DE. Eclampsia in rural Nigeria: The unmitigating catastrophe.Ann Afr Med 2017;16:175-180


How to cite this URL:
Esike CO, Chukwuemeka UI, Anozie OB, Eze JN, Aluka OC, Twomey DE. Eclampsia in rural Nigeria: The unmitigating catastrophe. Ann Afr Med [serial online] 2017 [cited 2022 Aug 8 ];16:175-180
Available from: https://www.annalsafrmed.org/article.asp?issn=1596-3519;year=2017;volume=16;issue=4;spage=175;epage=180;aulast=Esike;type=0