Pre‐eclampsia, eclampsia and adverse maternal and perinatal outcomes: a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health

• DOI: 10.1111/1471-0528.12629
• Publication Date: 2014-03-18T11:53:38Z
• Authors: E Abalos; C Cuesta; G Carroli; Z Qureshi; M Widmer; JP Vogel; JP Souza
• Keywords: Adult; Asia; Adolescent; Maternal-Child Health Centers; Gestational Age; Middle East; 03 medical and health sciences; 0302 clinical medicine; Pre-Eclampsia; Infant Mortality; Humans; Eclampsia; Policy Making; 2. Zero hunger; Severe maternal outcomes; Incidence; Infant, Newborn; 16. Peace & justice; 3. Good health; Parity; Cross-Sectional Studies; Latin America; Maternal Mortality; Risk factors; Near miss; Health Care Surveys; Africa; Practice Guidelines as Topic; Female; Pre-eclampsia

Objective To assess the incidence of hypertensive disorders pregnancy and related severe complications, identify other associated factors compare maternal perinatal outcomes in women with without these conditions. Design Secondary analysis World Health Organization Multicountry Survey on Maternal Newborn ( WHOMCS ) database. Setting Cross‐sectional study implemented at 357 health facilities conducting 1000 or more deliveries annually 29 countries from Africa, Asia, Latin America Middle East. Population All suffering any disorder during pregnancy, intrapartum early postpartum period participating hospitals period. Methods We calculated proportion pre‐specified population their distribution according to disorders' severity. estimated association between them deaths, near‐miss cases, complications using a multilevel logit model. Main outcome measures Hypertensive pregnancy. Potentially life‐threatening conditions among deaths cases outcomes. Results Overall, 8542 (2.73%) suffered disorders. Incidences pre‐eclampsia, eclampsia chronic hypertension were 2.16%, 0.28% 0.29%, respectively. eight times frequent increased up 60 eclampsia, when compared Conclusions The this large database provides estimates global information most pre‐eclampsia could be interest inform policies for systems organisation.