Determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe
Abstract Objective Severe preeclampsia and eclampsia have dire consequences for both maternal and neonatal health. The objective of this study was to identify determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia. Results Binary logistic regression showed the f...
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | BMC Research Notes |
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| Online Access: | http://link.springer.com/article/10.1186/s13104-019-4334-9 |
| _version_ | 1828877957046730752 |
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| author | Solwayo Ngwenya Brian Jones Desmond Mwembe |
| author_facet | Solwayo Ngwenya Brian Jones Desmond Mwembe |
| author_sort | Solwayo Ngwenya |
| collection | DOAJ |
| description | Abstract Objective Severe preeclampsia and eclampsia have dire consequences for both maternal and neonatal health. The objective of this study was to identify determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia. Results Binary logistic regression showed the following were significantly associated with adverse maternal outcomes; mothers who had a baby born at 27–29+6 weeks of gestation were 8 times more likely to be associated with adverse maternal outcomes compared to mothers who gave birth at 37–39+6 weeks’ of gestation (OR 8.187, 95% CI 1.680–39.911, p = 0.02), holding other variables constant. Platelet count was also statistically significant for adverse maternal outcome. Mothers with platelet counts of 0–49 × 109/l were 46 times more likely to be associated with adverse maternal outcome compared to mothers with normal counts of more than 150 × 109/l (OR 46.429, 95% CI 17.778–121.253, p = 0.001). The following determinants were significantly associated with adverse perinatal outcomes. Mothers with platelet counts of 0–49 × 109/l were 4 times more likely to be associated with adverse perinatal outcomes compared to mothers with platelet counts of above 150 × 109/l (OR 3.690, 95% CI 1.752–7.775, p = 0.001). |
| first_indexed | 2024-12-13T08:55:06Z |
| format | Article |
| id | doaj.art-a3eca54e150649f8a2a180ac645b489c |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-12-13T08:55:06Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-a3eca54e150649f8a2a180ac645b489c2022-12-21T23:53:17ZengBMCBMC Research Notes1756-05002019-05-011211510.1186/s13104-019-4334-9Determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, ZimbabweSolwayo Ngwenya0Brian Jones1Desmond Mwembe2Department of Obstetrics & Gynaecology, Mpilo Central HospitalNational University of Science and Technology, Medical SchoolNational University of Science and Technology, Medical SchoolAbstract Objective Severe preeclampsia and eclampsia have dire consequences for both maternal and neonatal health. The objective of this study was to identify determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia. Results Binary logistic regression showed the following were significantly associated with adverse maternal outcomes; mothers who had a baby born at 27–29+6 weeks of gestation were 8 times more likely to be associated with adverse maternal outcomes compared to mothers who gave birth at 37–39+6 weeks’ of gestation (OR 8.187, 95% CI 1.680–39.911, p = 0.02), holding other variables constant. Platelet count was also statistically significant for adverse maternal outcome. Mothers with platelet counts of 0–49 × 109/l were 46 times more likely to be associated with adverse maternal outcome compared to mothers with normal counts of more than 150 × 109/l (OR 46.429, 95% CI 17.778–121.253, p = 0.001). The following determinants were significantly associated with adverse perinatal outcomes. Mothers with platelet counts of 0–49 × 109/l were 4 times more likely to be associated with adverse perinatal outcomes compared to mothers with platelet counts of above 150 × 109/l (OR 3.690, 95% CI 1.752–7.775, p = 0.001).http://link.springer.com/article/10.1186/s13104-019-4334-9Severe preeclampsiaEclampsiaDeterminantsAdverse outcomesLow-resource settingMpilo Central Hospital |
| spellingShingle | Solwayo Ngwenya Brian Jones Desmond Mwembe Determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe BMC Research Notes Severe preeclampsia Eclampsia Determinants Adverse outcomes Low-resource setting Mpilo Central Hospital |
| title | Determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_full | Determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_fullStr | Determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_full_unstemmed | Determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_short | Determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_sort | determinants of adverse maternal and perinatal outcomes in severe preeclampsia and eclampsia in a low resource setting mpilo central hospital bulawayo zimbabwe |
| topic | Severe preeclampsia Eclampsia Determinants Adverse outcomes Low-resource setting Mpilo Central Hospital |
| url | http://link.springer.com/article/10.1186/s13104-019-4334-9 |
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