Journal of Medical Sciences1682-44741812-5727Asian Network for Scientific Information10.3923/jms.2013.391.395Adama-HondeglaAmah Biova Lawson-EviKoko BassowaAkila ModjiSelomey EgblaKokou-Fia AkpadzaKoffi 52013135Eclampsia during pregnancy is often associated with a higher rate of perinatal
mortality, especially in Africa. Implementation of preventive and curative strategies
to reduce perinatal mortality in eclampsia needs regular assessment of risk
factors. This study is held to determine the impact of several risk factors
in eclampsia on perinatal mortality at Tokoin Teaching Hospital of Lomé,
Togo (West Africa). It is a retrospective and comparative study concerning recorded
files of 178 newborns from eclamptic women. Maternal and newborns risk factors
have been compared in two groups of babies (dead ones versus still living ones:
at 7th day of life). The data were processed by using SPSS 12.0 software. Chi-square
Exact Test of Fisher and calculation of Odds Ratio have been used to establish
significance (p<0.05) and correlation between variables. The total dead fetuses
and newborns during the perinatal period was 17.4%. Vaginal rate of delivery
increased significantly perinatal death, compared to cesarean section (OR =
5; p<0.001). Prematurity (gestational age less than 37 weeks) versus newborn
at term was at risk of perinatal death (OR = 4.61; p<0.001). Perinatal mortality
was increased in babies with lower Apgar score (<7) at first minute compared
to those with Apgar score upper than 7 (OR = 2.9; p<0.001). Caesarean section
in eclamptic women still prevents a lot from fetal and newborn death. Better
handling of premature babies and improvement of newborn resuscitation in the
center, will help to decrease perinatal mortality due to eclampsia.]]>Adam, G.K., K.H. Bakheit and I. Adam,200929619620Adama-Hondegla, A.B., S. Aboubakari, K. Fiagnon, K. Egbla and K. Akpadza,201113199207Ahinko, K. and R. Tuimala,1994138386De Souza Rugolo, L.M.S., M.R. Bentlin and C.E.P. Trindale,201112e198e206Fardiazar, Z., M. Ramin, E.O.S. Madarek, S. Atashkhouei, R. Torab and M. Goldust,201316446450Hall, D.R.,200222636636Ansari, M.Z., B.A. Mueller and M.A. Krohn,199511447451Kamyabi, Z. and I.M. Mahani,20044323326Makinde, O.N.,20122012Mayi-Tsonga, S., L. Akouo, J.P. Ngou-Mve-Ngou and J.F. Meye,200616197200Moller, B. and G. Lindmark,198065307314Noutsougan, Y.M.F.,19991999Okafor, U.V., E.R. Efetie, W. Igwe and O. Okezie,200922688692Olusanya, B.O. and O.A. Solanke,201131120130Sahin, G.,20032003Samueloff, A., S. Mor-Yosef, D.S. Seidrnan, I. Adler, E. Persitz and J.G. Schenker,198968677682Sibai, B.M., G.D. Anderson, T.N. Abdella, J.H. McCubbin and P.V. Jr. Dilts,1983146307316Steier, J.A., M. Ulstein and O.L. Myking,2002100552556Urassa, D.P., A. Carlstedt, L. Nystrom, S. N. Massawe and G. Lindmark,200685571578Yaliwal, R.G., P.B. Jaju and M. Vanishree,2011510561059