Pre‐eclampsia, eclampsia and adverse maternal and perinatal outcomes: a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health
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
DOI:
10.1111/1471-0528.12629
Publication Date:
2014-03-18T11:53:38Z
AUTHORS (8)
ABSTRACT
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.
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