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Maternal-Fetal Prognosis of Eclampsia at the Second Reference Hospital in the Urban Commune of Segou in Mali

Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1414-1429页

作者： Tidiani Traoré Cheickna Sylla Kassoum Sidibé Babou Traoré Sylvain Guindo Adama Coulibaly Seydina A. Beye Seydou Z. Dao Famakan Kané Youssouf Traoré Ibrahima Téguété moustaphe touré Department of Gynecology and Obstetrics NianankoroFomba Hospital Ségou Mali Department of Gynecology and Obstetrics Reference Health Centre in Koutiala Sikasso Mali Department of Gynecology and Obstetrics Reference Health Centre of Commune II Bamako Mali Department of Gynecology and Obstetrics Reference Health Centre in Bla Ségou Mali Department of Gynecology and Obstetrics Gabriel TOURE University Hospital Center Bamako Mali Department of Gynecology and Obstetrics University Hospital Center of the Mali Hospital Bamako Mali

Aim: To describe the epidemiological, therapeutic and prognostic aspects of eclampsia at the second reference hospital in the urban commune of Ségou in Mali. Patient and Methods: This was a descriptive, cross-sectional, analytical, retrospective and prospective study based on a comprehensive de-engineering. It covered a 3-year period from January 1, 2010 to December 31, 2012 and involved 176 cases. Results: The incidence of eclampsia during the study period was 2.9%. Classically, it occurred in 74.4% in young primigeste, in 73.9% in the 3rd trimester of pregnancy and 26.1% of cases during postpartum. We recorded maternal complications such as retro-placental hematoma, acute kidney failure and delivery hemorrhage. The case fatality rate was 2.3% or 4 cases of maternal death. At the fetal level, there was 29.5% prematurity, 31.8% neonatal suffering, 11.4% hypotrophy, 11.9% in utero fetal death and 7.4% early neonatal death. Conclusion: The maternal-fetal prognosis remains reserved despite the progress made in the management of eclampsia in our services.

关键词： Pronostic Maternal Fetal Eclampsia Unsealed Pregnancy

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