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International Journal of Clinical Obstetrics and Gynaecology

International Journal of Clinical Obstetrics and Gynaecology

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Print ISSN: 2522-6614, Online ISSN: 2522-6622

International Journal of Clinical Obstetrics and Gynaecology

2021, Vol. 5, Issue 2, Part C

Severe preeclampsia before term in N’Djamena Mother and Child University Hospital: Epidemiological aspects and prognoses
Author(s): Gabkika Bray Madou, Foumsou Lhagadang, Souam Ngul sil and Deguitigane Dorenavant
Abstract:
Background: Severe preeclampsia is associated with high maternal and perinatal mortality in developing countries.
Objective: to improve the management of preeclampsia before full term.
Patients and Method: This was a descriptive prospective study for a period of 5 months from 1st May 2020 to 31st October 2020 on the management of severe preeclampsia before full term performed at the Maternity of N’Djamena Mother and Child University hospital.
Results: The prevalence of preeclampsia before term was 1.3%. The age group between 17-24 years was the most represented with 62.3%.The majority of patients (55.7%) were referred. Main consultation’ reason is: headaches (31.1%. Patients with a gestational term between 28-32 gestational week + 6 days were more represented with 39.3%. More than half (50.8%) hadn’t attended prenatal cares. Primiparity was the most noted risk factor with 39.3%. All pregnant women had received magnesium sulphate (100%). Pulmonary maturation with Betamethasone was achieved in 86.9% patients. The decision to terminate the pregnancy was taken in 63.9%. Main maternal morbidity was: acute kidney failure with 13.1%.Maternal lethality rate was 6.6%. Main fetal complication was: prematurity (88.5%). The majority of patients (77%) had a vagina delivery.
Conclusion: Severe preterm pre-eclampsia is an uncommon pregnancy complication in N’Djamena Mother and Child University Hospital. Delivery was perform by vagina in the majority of cases.
Pages: 153-156 | 93 Views | 36 Downloads
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How to cite this article:
Gabkika Bray Madou, Foumsou Lhagadang, Souam Ngul sil, Deguitigane Dorenavant. Severe preeclampsia before term in N’Djamena Mother and Child University Hospital: Epidemiological aspects and prognoses. Int J Clin Obstet Gynaecol 2021;5(2):153-156. DOI: 10.33545/gynae.2021.v5.i2c.881
International Journal of Clinical Obstetrics and Gynaecology