Prevalence of and risk factors for eclampsia in pregnant women in India

作     者：Sutapa Agrawal Gagandeep K.Walia Eleonora Staines-Urias Juan P.Casas Christopher Millett 

作者机构：Public Health Foundation of IndiaGurgaonNew Delhi NCRIndia Department of Epidemiology and Population HealthLondon School of Hygiene and Tropical MedicineLondonUK Institute of Cardiovascular ScienceUniversity College LondonLondonUK School of Public HealthImperial CollegeLondonUK 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2017年第5卷第4期

页      面：225-244页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100211[医学-妇产科学] 10[医学] 

基　　金：Sutapa Agrawal and Gagandeep K.Walia are supported by Wellcome Trust Strategic Award grant no.WT084674 to Shah Ebrahim and a Wellcome Trust Capacity Strengthening Strategic Award-Extension phase to the Public Health Foundation of India and a consortium of UK universities(WT084754/Z/08/A) 

主　　题：Convulsions eclampsia risk factors women Indian 

摘      要：Objective:Eclampsia is a potentially fatal disorder in pregnant women and remains an im-portant cause of maternal and perinatal child morbidity and death *** aimed to assess the prevalence of and risk factors for convulsions(not occurring from fever)during pregnancy in Indian *** is a key symptom suggestive of ***:Cross-sectional data from India’s third National Family Health Survey,conducted during 2005-2006 were ***-reported information on convulsions during pregnancy was obtained from 39,657 women aged 15-49 years who had a live birth in the 5 years preceding the *** logistic regression analysis was used to explore risk factors for convulsion in ***:Overall,1 in 10 women reported having convulsions in their most recent *** prevalence was significantly higher in women living in rural areas compared with those liv-ing in urban areas(11.3% vs.7.4%;P0.0001),with marked state and geographic *** odds of convulsions were significantly higher in women with a twin pregnancy[odds ratio(OR)2.12;95% confidence interval(CI)1.45-3.11],a previously terminated pregnancy(OR 1.32;95% CI 1.20-1.45),diabetes(OR 1.37;95% CI 0.99-1.89),or asthma(OR 1.85;95% CI 1.35-2.54),in women who were alerted to pregnancy complications(OR 2.78;95% CI 2.50-3.08),in Sikh wom-en(OR 1.73;95% CI 1.28-2.33),in women in a low social group(OR 1.40;95% CI 1.25-1.58),and in women residing in central India(OR 1.51;95% CI 1.31-1.74)or eastern India(OR 1.33;95% CI 1.14-1.54)with reference to their ***:Our findings from a large population-based nationally representative sample of Indian women indicate a high prevalence of convulsions,a symptom suggestive of eclampsia,and its association with several maternal,lifestyle risk factors and sociodemographic characteristics.