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Research Paper | Medicine Science | Nigeria | Volume 3 Issue 5, May 2014 | Popularity: 6.7 / 10
The Incidence of Preeclampsia and Eclampsia in Obstetric-Gynecologic ?Queen Geraldine? in Tirana; Albania during 2000-2013
Prof. Manaj Aferdita, Ph.D. Bylykbashi Edlira, Dr. Muhametaj Mirton, Aliaj Minire, Shaskaj Saimire
Abstract: Objective: To evaluate the incidence of preeclampsia and eclampsia and associated mortality in a in a tertiary referral center between 2000 and 2013. Materials and methods: This retrospective study was carried out in the Obstetric-Gynecologic Queen Geraldine in Tirana; Albania a tertiary level center for the country. The incidence; demographics of women with pre-eclampsia and eclampsia and neonatal outcomes of all singleton births in this hospital were recorded. Diagnoses of preeclampsia and eclampsia were established according to the ICD. Results: The incidence of preeclampsia was 2.7 % (95 %CI 2.65-2.80) ; presenting a significant downward trend over the study period; 4 % in 2000 and 1.7 % in 2013 (p<0.01). The rate of eclampsia was 8.6/ 10; 000 births or 2.6 % of preeclampsia cases; decreasing from 1.9 % to 1.5 % (p=0.2). RR of eclampsia in 2013 was 0.7 (95 % CI 0.23 -2.51) compared with the year 2000 (p=0.6). Eighty percent of seizures occurred in nuliparous women (p<0.01). No seasonal variation of seizure occurrence was found (p=0.6). Conclusion: The incidence of preeclampsia has decreased significantly as well as the rate of eclampsia; however not significantly. Modern obstetric care and the introduction into national programmes and health-care services of evidence-based policies it is essential to the prevention and management of pre-eclampsia and eclampsia to reduce the infant morbidity and mortality.
Keywords: eclampsia, hypertension, incidence, preeclampsia
Edition: Volume 3 Issue 5, May 2014
Pages: 1420 - 1423
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