Adverse maternal and fetal outcomes and deaths related to preeclampsia and eclampsia in Haiti

Nandini Raghuraman, Melissa I. March, Michele R. Hacker, Anna Merport Modest, Julia Wenger, Rulx Narcisse, Jean Louis David, Jennifer Scott, Sarosh Rana

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Objective The purpose of this study was to define the prevalence and clinical characteristics of preeclampsia and eclampsia at a hospital in rural Haiti.

Methods This is a retrospective review of women presenting to Hôpital Albert Schweitzer (HAS) in Deschapelles, Haiti with singleton pregnancy and diagnosis of preeclampsia or eclampsia from January 1, 2011 through December 31, 2012. Hospital charts were reviewed to obtain medical and prenatal history, hospital course, delivery information, and fetal/neonatal outcomes. The outcomes included placental abruption, antepartum eclampsia, postpartum eclampsia, maternal death, birthweight <2500 g and stillbirth. Data are presented as median (quartile 1, quartile 3) or n (%) and risk ratios.

Results During the study period, 1743 women were admitted to the maternity service at HAS and 290 (16.6%) were diagnosed with preeclampsia or eclampsia. Only singleton pregnancies were analyzed (N = 270). Nearly all (95.0%) patients admitted with preeclampsia had severe preeclampsia. There were 83 patients with eclampsia (30.7%) of which 61 (73.4%) had antepartum eclampsia. There were 48 stillbirths (17.8%) and 5 maternal deaths (1.9%). Patients with antepartum eclampsia were younger, more likely to be nulliparous and had less prenatal care compared to women with antepartum preeclampsia. Antepartum eclampsia was associated with placental abruption and maternal death.

Conclusions The rates of preeclampsia and its associated complications, such as eclampsia, placental abruption, maternal death and stillbirth, are high at this facility in Haiti. Such data are essential to developing region-specific systems to prevent preeclampsia-related complications.

Original languageEnglish
Pages (from-to)279-286
Number of pages8
JournalPregnancy Hypertension
Volume4
Issue number4
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

Keywords

  • Adverse maternal and perinatal outcomes
  • Eclampsia
  • Haiti
  • Preeclampsia

Fingerprint Dive into the research topics of 'Adverse maternal and fetal outcomes and deaths related to preeclampsia and eclampsia in Haiti'. Together they form a unique fingerprint.

  • Cite this

    Raghuraman, N., March, M. I., Hacker, M. R., Modest, A. M., Wenger, J., Narcisse, R., Louis David, J., Scott, J., & Rana, S. (2014). Adverse maternal and fetal outcomes and deaths related to preeclampsia and eclampsia in Haiti. Pregnancy Hypertension, 4(4), 279-286. https://doi.org/10.1016/j.preghy.2014.09.002