Maternal and Perinatal Resulting in Pregnant With Complicated Eclampsia on Motherhood “Enrique C Sotomayor” During the Period January-December 2012

Yeh Ling Yiin Dillon¹, Peter Chedraui², Diego Vásquez C^1
1Catholic University of Guayaquil, Guayaquil, Ecuador
²Motherhood Enrique Sotomayor

A B S T R A C T
Background: Eclampsia is the most severe manifestation of hypertensive disorders that complicates pregnancy. It is a major cause of maternal and perinatal morbidity and mortality. In 2011, eclampsia with gestational hypertension was the second leading cause of maternal death in the country. Objective: To determine the maternal perinatal outcome and risk factors for developing complications secondary to eclampsia. Methodology: Descriptive and analytical cross-sectional study conducted between January and December 2012 at the maternity Enrique C. Sotomayor. A total of 133 pregnant women were included with a diagnosis of eclampsia. Data were screened by the on –base and MIS software of the mathernity. Maternal, laboratory and pathological data of the mother and newborn were collected. Results:Eclamptic women who had complications were 40(30%). The principal was the HELLP syndrome (hemolysis, elevated liver enzymes and thrombocytopenia) in 21(21.2 %) patients. There were 2 maternal deaths one by intracerebral hemorrhage and the second by DIC (disseminated intravascular coagulation). Maternal mortality was 1.5 %. Prematurity 59 (72.8 %) was the main perinatal outcome. There were 7(6.2%) stillbirths and neonatal deaths in each case. Perinatal mortality was 12.5%. Conclusion: The epidemiological profile and the maternal perinatal outcome were similar to that described in the literature. Management should be directed at preventing eclampsia because no one is acquitted from developing complications.
Keywords: Physico-chemical traits, ash values, SEM, FT-IR spectroscopy