Objective: To study the trend of eclampsia in a tertiary care maternity hospital over a period of 5 years. Study Design: This is a retrospective study done in Ain Shams University Maternity Hospital.
All patients admitted to hospital having eclampsia [antepartum, intrapartum, postpartum] during the period from Jan.1998 through Dec.2002 were reviewed as regards: age, parity, gestational age, type of eclampsia, number of fits, mode of delivery, fetal and maternal outcome and duration of hospital stay Results: Sixty six  patients were found during that period [total deliveries were 39, 244] . Forty  patients had antepartum eclampsia, while 23 had postpartum eclampsia and 3 had intraparturn eclampsia. Mean maternal age 24.4 years. Mean gestational age 33.4 weeks. Mean number of fits was 2.4. Cesarean section was the mode of delivery in 39 cases [34 cases had antepartum eclampsia, while 5 cases developed post-Cesarean section eclampsia] . On the other hand, 27 cases [41%] ended by vaginal delivery. All cases received magnesium sulphate injection for control of fits. All cases were admitted to the ICU either antepartum or postpartum to get the proper monitored management. No cases of maternal mortality. Fetal and neonatal [perinatal] mortality were encountered in 20 cases [29%] . Mean hospital stay was 7.8 days
Conclusion: Although eclampsia is a prevalent disease in Egypt, the final maternal outcome is relatively satisfactory. ICU admission should be a part of any eclampsia case management. Termination of pregnancy is timed primarily for the sake of the mother. Neonatal outcome depends on the standard of incubation service available. Zero maternal mortality could be a reality when eclampsia management is up to the standard
Hamdi El Kabarity ,Hamdi El Kabarity ,Abdel Megeed Ismail ,Helmy M. El Sayed ,
Eclampsia in Egypt [1998-2002]: an overview,
New Egypt. J. Med. 2004;
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