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ORIGINAL ARTICLE
Year : 2019  |  Volume : 36  |  Issue : 3  |  Page : 363-366

Feto-maternal outcome of ICU and non-ICU admitted eclampsia at LAUTECH Teaching Hospital: A 10-year review


Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Health Sciences, P.M.B. 5000, Osogbo, Osun State, Nigeria

Correspondence Address:
Dr. Adeniyi O Fasanu
Department of Obstetrics and Gynaecology, Faculty of Health Sciences, College of Health Sciences, P.M.B. 5000, Osogbo, Osun State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/TJOG.TJOG_14_19

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Introduction: Eclampsia has been one of the major causes of maternal mortality worldwide and its impacts are more felt in sub-Saharan Africa, including Nigeria. There is an urgent need to reduce its adverse effects on maternal health. The aim of this study is to reappraise our management protocol, identify gaps, and suggest ways of improvement. Methods and Materials: It is retrospective 10-year study of cases of eclampsia and assessing feto-maternal outcomes. Statistical Analysis: Categorical variables were summarized using frequency while continuous variables were summarized using mean and standard deviation. Measures of association were carried out using student t-test, F-test for continuous variables, and Chi-square test for categorical variables where appropriate. P value set at 0.05%. Results: 130 cases were identified. A comparative analysis was done on cases admitted to ICU and those managed without admission to ICU. Feto-maternal adverse effects were found more in cases admitted to ICU and were majorly unbooked cases. Conclusion: Despite ICU care, which should improve feto-maternal outcomes, the case in this study was opposite, suggesting suboptimal antenatal care, inefficient referral system, poor infrastructure, and inadequate manpower in our health sector. Sensitization will impact positively to reduce the burden of the disease.


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