Maternal and perinatal outcomes of preeclampsia at a tertiary hospital in lagos, Nigeria

Abstract

Background: Preeclampsia (PE) is a pregnancy-specific condition, with a serious impact on the health and quality of life of both mother and child. PE is a multisystem progressive disorder that occurs following placental and maternal vascular dysfunction and resolves postpartum over a variable period of time. Objectives: The study was aimed to determine the incidence as well as the perinatal and maternal outcomes of PE at the Lagos University Teaching Hospital (LUTH), Nigeria. Materials and Methods: This was a retrospective review of patients managed in the labor and postnatal wards of the LUTH, Idi-Araba, Nigeria, over a 5-year period. A study proforma was used to collect relevant data which were entered and analyzed using the IBM Statistical Package for Social Sciences (SPSS Statistics) Version 23. Results: A total of 426 pregnancies were complicated with PE giving an incidence of 10.2% of all deliveries during the study period. Several maternal complications recorded included: acute kidney injury (1.9%), abruptio placentae (2.1%), postpartum hemorrhage (2.4%), maternal mortality (3.8%). The perinatal mortality rate was 16.7%, and 35.4% of the live births required neonatal intensive care unit admission. Conclusion: PE contributed a sizeable proportion of deliveries in LUTH, Nigeria during the study period. It also played a significant role in maternal and perinatal complications.

Keywords

• complications
• hypertension
• lagos
• mortality
• preeclampsia
• pregnancy