Clinical Features and Treatment Outcomes of Preeclampsia and Eclampsia at Gondar University Specialized Teaching Hospital Amhara Ethiopia, 2020/2021.
| dc.contributor.advisor | Prof.Azazh, Aklilu(MD, Internist, emergency medicine specialist) | |
| dc.contributor.advisor | Abebe, Asmamaw ( MSc, Emccn) | |
| dc.contributor.author | Alemie, Tamalew | |
| dc.date.accessioned | 2021-12-06T06:31:07Z | |
| dc.date.accessioned | 2023-11-05T09:38:17Z | |
| dc.date.available | 2021-12-06T06:31:07Z | |
| dc.date.available | 2023-11-05T09:38:17Z | |
| dc.date.issued | 2021-07 | |
| dc.description.abstract | Background: - Preeclampsia is a disorder of pregnancy characterized by high blood pressure and proteinuria after 20 weeks of gestation, and a common direct obstetric cause for perinatal and maternal morbidity and mortality in developing countries. Objective: To assess the clinical features, and treatment outcome of women with preeclampsia and Eclampsia admitted in Gondar University specialized hospital, Northern Ethiopia 2020/2021. Methods: A retrospective cross-sectional chart review study was conducted at Gondar university specialized hospital from April 9-May/30/2021. Among women hospitalized for preeclampsia and eclampsia 311 mothers selected using systematic sampling. A pretested check list was used to collect data from medical records. The collected data was coded, entered into Epi-data version 4.6, and exported to SPSS 26 for descriptive and inferential analysis. Chi-square and fishers exact test were done to determine a statistically significant factors and a p-value of ≤0.05 was considered to set a statically significant association. Results; Out of 311 study population, almost half of cases (49.8%) were preeclampsia with severity features. While, Eclampsia accounted for 18.6% of women. Above 50% of mothers required immediate interventions to terminate the pregnancy by cesarean section for various indications. Unfavorable maternal outcome was present in more than 25% of cases; the observed unfavorable maternal outcomes were aspiration pneumonia 10.6%, HELLP syndrome 8.7% and maternal death 2(0.6%).While 12.2% of cases had unfavorable perinatal outcome. The unfavorable perinatal outcomes were still birth 31(10%) and early neonatal death 7(2.3%). Disease severity, mode of delivery, aspartate transaminase, gravidity, gestational age and antenatal care were statistically significant factors with outcome of pregnancy. Conclusion; Prevalence of unfavorable maternal and perinatal outcomes of preeclampsia and eclampsia are considerable in the study area. To deter these effects both on perinatal and the maternal outcomes of pregnancy, antenatal care services and emergency obstetrics and new born care should be expanded and strengthen. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/29106 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Preeclampsia, eclampsia, outcome, Gondar and Ethiopia | en_US |
| dc.title | Clinical Features and Treatment Outcomes of Preeclampsia and Eclampsia at Gondar University Specialized Teaching Hospital Amhara Ethiopia, 2020/2021. | en_US |
| dc.type | Thesis | en_US |