Document Detail


Eclampsia in Kelantan.
MedLine Citation:
PMID:  2152069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A review of eclampsia in Kelantan was undertaken from 1983-1988. There were 146 documented cases in the state (66 per 100,000 deliveries). Eight maternal deaths occurred. Sixty seven (45.9%) were primigravida. Six of the 79 multiparous women developed eclampsia for the first time following remarriages to new partners. The multisystem dysfunction resulting from eclampsia resulted in varied maternal complications. Fatal cerebral haemorrhage (3 cases), acute pulmonary oedema (8 cases), acute renal failure (6 cases), HELLP Syndrome (8 cases) and acute abruptio placentae were the commoner complications. The average number of convulsions per patient was 1.3. The mean gestation of mothers who delivered prematurely (28.2%) was 34.6 weeks and that for those at term (71.8%) was 39.1 weeks. The caesarean section rate was 42.5%. The perinatal mortality rate was 185.9 per 1000. The implications of this high maternal and fetal mortality and morbidity are discussed in the light of the health delivery system and patient education. A team approach to medical management of eclampsia with the need for intensive care monitoring is suggested.
Authors:
S Nalliah; A R Abdullah
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  45     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1992-06-30     Completed Date:  1992-06-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  MALAYSIA    
Other Details:
Languages:  eng     Pagination:  49-56     Citation Subset:  IM    
Affiliation:
General Hospital Kota Bharu.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Eclampsia / complications,  epidemiology*
Female
Humans
Incidence
Malaysia
Pregnancy
Pregnancy Outcome
Seizures / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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