The Incidence And Risk Factors Of Preeclampsia And Eclampsia Admitted In Antenatal And Postnatal Wards After 20 Weeks Of Gestation

ABSTRACT

Main Objective: This study was therefore to access the incidence of Preeclampsia in women admitted to FMC Yola in their pre and postnatal wards during their last trimester.

Study Design: The study was carried out among pregnant women who are admitted in antenatal and postnatal wards after 20 weeks of gestation and was carried out at FMC Yola Adamawa State from February to April 2015.

Method: Structured Questionnaires from patients in antenatal and postnatal wards at FMC Yola.

Results: The number of women who were diagnosed with either Preeclampsia or Eclampsia was thirty in number. About 90% of the participants who were presented to the hospital during their last trimester were unbook and have high level of blood pressure of 140/90 mmHg and above. They women with the normal blood pressure of 120/80 mmHg are 3 (10%), 160/110 are 17(56.7%), BP 140/80 mmHg are 4 (13.3%), BP 150/110mmHg are 6 (20%) and they also have high level of proteinuria in their urinary analysis with, Proteinuria of +3 (61.3%) and Proteinuria of +2 (32.3%) and (3.3%) were negative for the latter biomarker in their urine respectively. A greater number of the women don’t show up for antenatal visits with (56.7%), those that show up once during their pregnancies were (13.3%), those that show up twice were (10.0%), three times (6.7%), four times (3.3%), five times (6.7%) and six times (3.3%) respectively.

Conclusion: The fact that most of the causes of Preeclampsia and Eclampsia is due to high level of blood pressure and proteinuria, measures should focus on how to reduce this problem and patients should come on time to the hospitals. The exact etiology of Eclampsia remains speculative for now and most are presenting to health facility for the first time and the study showed the importance of antenatal care.