104. The profile of early versus late onset preeclampsia-eclampsia at Kenyatta National Hospital: A retrospective cohort study

Autor: George dr. George Odwe, Alfred dr. Alfred Osoti, Charity Ndwiga, Pooja dr. Sripad Pooja, Ndwiga Ndwiga, Charlotee dr. Warren
Rok vydání: 2018
Předmět:
Zdroj: Pregnancy Hypertension. 13:S75
ISSN: 2210-7789
DOI: 10.1016/j.preghy.2018.08.223
Popis: Introduction Pre-eclampsia, a major cause of maternal and neonatal morbidity and mortality can be classified as early (before or at 34 weeks) or late (after 34 weeks) onset. The clinical characteristics and outcomes of early onset preeclampsia-eclampsia(EO-PE) versus late onset pre-eclampsia-eclampsia (LO-PE) in low resource settings have not been previously described. Objective To compare the clinical characteristics and outcomes of early versus late onset pre-eclampsia-eclampsia. Methods Retrospective hospital records were examined for 620 women who received care for preeclampsia- eclampsia during pregnancy, labor and delivery or postpartum (⩽12 weeks) at Kenyatta National Hospital between September 2015 and October 2017. Descriptive statistics and bivariate analysis were conducted using Stata® 13. Results Out of 620 records reviewed, 44% (n = 273) exhibited EO-PE while 56% had LO-PE, 126(23%) were referred from other facilities. Women with EO-PE were likely to be younger (mean 29.2, Standard deviation (SD) 6.11 years) compared to those with LO-PE (mean 27.8 years, SD 6.34 years; p Discussion Early compared to late onset pre-eclampsia is more severe and is associated with greater odds of adverse maternal and perinatal outcomes compared in low resource settings. There is need to improve awareness to improve early detection among pregnant women.
Databáze: OpenAIRE
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