The state of Qatar as well as the connected maternal and fetal outcomes, with the evaluation of any possible avoidable measures to lower this incidence.number of births through the period with the study was 224,809. Parameters checked from the files have been maternal age, nationality, parity, gestational age, quantity of antenatal visits, variety of fits, symptoms of impending eclampsia, coma, diagnosis at admission, drugs utilized, mode of delivery, maternal and fetal outcomes. Eclampsia was diagnosed by the occurrence of convulsions in the course of pregnancy, labour or inside the initially 10 days postpartum with or with out hypertension (a systolic blood stress (BP) of 140 mmHg along with a diastolic of 90 mmHg and proteinuria (at the least or a lot more inside a random urine sample or 0.three g in a 24 hour collection), just after excluding all other causes of fits. The management of eclampsia at this hospital is directed towards stabilizing the mother, stopping convulsions, prevention of further fits, (by the usage of anticonvulsants), controlling BP (by antihypertensives), and delivering the fetus irrespective of gestational age.RESULTSThe total quantity of deliveries was 224,809 for the duration of the period of your study from January 1991 to December 2009.Price of 1359656-11-3 Eclampsia was detected in 70 women with an incidence of 0.31/1000 deliveries (details in Table 1). The timing of fits was 44.three ante partum (31 cases), 24.3 intra partum (17 instances) and 31.four postpartum (22 instances) (Figure 1). Thirtyfour patients (48.five ) had been ,25 years old and 13 sufferers (18.five ) have been teenagers. Thirtytwo ladies presented with a gestational age of 37 weeks (45.7 ) and 38 girls (54.2 ) were ,37 weeks (Figure 2). Further, 65.7 on the patients have been primiparous (46 circumstances) and 34 .3 were multiparous (24 cases). Twentyeight circumstances (40 ) had been Qataris and 42 situations (60 ) had been nonQataris (Figure 3). From the sufferers, 54.2 were beneath the age of 25 years and 18.5 had been teenagers. Diagnosis on admission was eclamptic fits in 34.2-Bromo-3-fluoropyrazine Order three from the cases (24 women), 13 of them have been referred in the basic emergency space; 38.PMID:23664186 5 from the females had been admitted using the diagnosis of preeclampsia (27 circumstances)14 of them had serious preeclampsia (20 ) and 13 had mild preeclampsia (18.five ). Sixteen35 No:of eclamptic patients32 (45.7 )Supplies AND METHODSA retrospective study was carried out in the Women’s Hospital and Al Khor Hospital Obstetrics and Gynecology division by reviewing the medical record files of all females diagnosed to have eclampsia admitted during the period of your study, from January 1991 to December 2009. The total annual delivery rate for the duration of the study period ranged from 9452 to 15,952 deliveries. The total30 25 20 15 ten 5 0 age 226 age 272 age 336 age 37 over Gestational Age4 (five.7 ) 18 (25.7 ) 16 (22.8 )Figure two. Gestational age distribution for eclamptic patient.QATAR Healthcare JOURNALVOL. 2012 / NO. 2 /A evaluation of eclampsia in Qatar: A twentyyear study (from January 1991December 2009)Sharara40Qataris NonQataris60Figure three. Nationality of eclamptic individuals.instances of PE (22.9 ) had been admitted with symptoms of impending eclampsia. Ten cases of eclamptic match (14.three ) had regular blood pressure on admission ,130/80 mmHg. Thirteen ladies were admitted with labour pains (18.5 ), eight.7 of patients have been admitted for distinct causes; of them two with upper respiratory tract infection and two with preterm labour discomfort. A single patient was admitted with antepartum hemorrhage and a single patient was admitted for suspicion of spontaneous rapture of membranes (Figure 4). Twent.
