Incidence of eclampsia at SPHMMC and Correlated risk factors of substandard care with maternal adverse outcomes
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Eclampsia is defined as occurrence of one or more generalized convulsions or coma in the absence of other neurological conditions. In the western world, the estimated incidence of eclampsia ranges from 1:2000 to 1:3448 pregnancies. WHO estimates that the incidence of preeclampsia is 7 times higher in low and middle income countries than in high income countries, and the risk of a woman in a low-income country dying of preeclampsia/eclampsia is 300 times that of a woman in a high-income country. The clinical manifestations can appear anytime between the second trimester to the puerperium.
Advances in detection and management of this condition have led to significant decrement in maternal mortality and morbidity from this disease in the developed world. Yet, preeclampsia/eclampsia remains significant contributor to maternal mortality (CDC, 2011).