Comparing the risk of adverse effects of intrapartum and postpartum versus antepartum preeclampsia/eclampsia among women admitted at federal teaching hospital, Birnin Kebbi, northwest Nigeria.

INTRODUCTION

Preeclampsia is a multi-organ system disorder that is responsible for a significant rate of maternal and perinatal morbidity and mortality worldwide. Though many studies have worked on the risk factors, there is a limited study on the adverse maternal outcomes highlighting the comparison between antepartum preeclampsia/eclampsia (APE/E), intrapartum preeclampsia/eclampsia (IPE/E) and postpartum preeclampsia/eclampsia (PPE).

MATERIALS AND

METHODS

A retrospective cohort study was conducted by reviewing records of gestational induced hypertension patients who progressed to having preeclampsia/eclampsia at admitted at the Federal Teaching Hospital, Birnin Kebbi, between January 2009 and December 2019.

RESULTS

The multinomial logistic final model identified six maternal adverse outcomes of preeclampsia/eclampsia: stillbirth, (ARR 0.86 and 0.31, respectively), preterm delivery (ARR 8.55 and 3.10, respectively), induction of labour (ARR 0.39 and 0.36, respectively), maternal death (ARR 12.28 and 8.75, respectively), low birth weight (ARR 0.09 and 0.11, respectively) and convulsion (ARR 8.17 and 8.22, respectively).

CONCLUSION

These study findings offer valuable insights into the adverse maternal outcomes of preeclampsia and eclampsia within the Nigerian context. It serves as a potential research project that can be applied to the clinical setting to help clinicians manage preeclamptic and eclamptic patients better.