Document Detail

The causes of maternal deaths in eclampsia in Lagos, Nigeria.
MedLine Citation:
PMID:  2069883     Owner:  NLM     Status:  MEDLINE    
A retrospective study of the primary causes of maternal deaths in the eclamptics treated in the Lagos University Teaching Hospital (LUTH) over a 20-year period, from 1st January 1967 through 31st December 1986, was carried out. During this period, a total of 845 cases of eclampsia were treated and 91 maternal deaths were associated with eclampsia or its complications. The maternal deaths included 66 predelivery and 25 postpartum eclamptics respectively. Most of the maternal deaths (n = 86) occurred in unbooked cases of eclampsia. The maternal mortality rate was 105/1000 eclamptic deliveries. The common primary causes of deaths in eclampsia in the LUTH during the period under study were renal failure (14.5%), cerebrovascular haemorrhage (12.7%), cardio-pulmonary failure (12.7%), disordered intravascular coagulation syndrome (DIC) (10.9%), and cardiac failure (8%). The Post Mortem Rate (PMR) in the dead eclamptics in the LUTH was 60%. Scrutiny of data suggested that many of the maternal deaths could have been avoided if the patients were brought to the hospital in good time for treatment.
C U Odum; A Akinkugbe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  West African journal of medicine     Volume:  10     ISSN:  0189-160X     ISO Abbreviation:  West Afr J Med     Publication Date:    1991 Jan-Mar
Date Detail:
Created Date:  1991-08-22     Completed Date:  1991-08-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301891     Medline TA:  West Afr J Med     Country:  NIGERIA    
Other Details:
Languages:  eng     Pagination:  371-6     Citation Subset:  IM    
Dept. of Obstetrics and Gynaecology, College of Medicine, Univ. of Lagos, Nigeria.
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MeSH Terms
Cause of Death*
Eclampsia / drug therapy,  mortality*
Hospitals, University
Maternal Mortality*
Nigeria / epidemiology
Retrospective Studies

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