FACTORS ASSOCIATED WITH MATERNAL DEATHS IN ECLAMPTIC PATIENTS TREATED AT THE GYNECOLOGY-OBSTETRICS DEPARTMENT OF THE IGNACE DEEN NATIONAL HOSPITAL IN CONAKRY, GUINEA
DOI:
https://doi.org/10.69614/ejrh.v18i01.1004Abstract
ABSTRACT
OBJECTIVE: The objective of this work was to analyze the factors associated with maternal deaths in eclamptic patients.
METHODOLOGY: This was a retrospective study with analytical aims over a period of four years, carried out in the gynecology-obstetrics department of the Ignace Deen national hospital, Conakry, Guinea, on eclamptics treated in the department.
RESULTS: A total of 99 eclamptic patients were included in this study, the median age was 23 years with extremes of 15 and 45 years. The majority of patients were married (92.9%), not in school (43.4%) and evacuated (83.8%). Systolic blood pressure (SBP ? 160 mmHg) and diastolic blood pressure (DBP ? 110 mmHg) values were recorded in 73.7% and 56.6% of cases, respectively. In multivariate analysis, the absence of prenatal consultation (aOR : 11.92; CI: 1.15-123.45), having an Apgar score between 3 and 6 (aOR : 37.83; CI: 37.83-256.92), the 2nd delay (aOR : 7.07; CI: 1.07-46.63) and status eclampticus (aOR : 6.33; CI: 1.29-31.09) were statistically significantly associated factors with the occurrence of maternal deaths in eclamptic patients.
CONCLUSION: These data highlight the importance of strengthening access to antenatal care and improving the timely and adequate management of eclamptic patients, particularly by reducing transfer times to specialized care facilities. Such actions could contribute to the reduction of maternal mortality related to eclampsia in this context.
KEYWORDS: associated factors, maternal deaths, eclamptics, Guinea.
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