%0 Journal Article %T Risk Factors in Mozambican Women with Eclampsia: A Case-Referent Study %A Ant¨®nio Bugalho %A Alberta Bacci %A Staffan Bergstr m %J African Journal of Reproductive Health %D 2001 %I Women's Health and Action Research Centre (WHARC) %X In Maputo 133 consecutive eclamptic patients were compared with 393 non-eclamptic referent women. Significant risk factors for eclampsia were age < 18 years, household size < 3 individuals, unwanted pregnancy, walking to antenatal clinics and, in the third trimester, headache, foot oedema, hand or face oedema, epigastric pain, visual disturbance, ear buzzing and dizziness. Significantly more cases than referents reported no blood pressure measurements in antenatal clinics. It is concluded that the quality of antenatal clinics can be improved by enhanced community awareness of danger signs, by early recognition of risk factors and by better management of prodromal symptoms of eclampsia. (Afr J Reprod Health 2001; 5[2]:30-35) R¨¦SUM¨¦ Facteurs de risque chez les femmes mozambicaines atteintes de l'¨¦clampsie: Une ¨¦tude de cas-r¨¦f¨¦rent. A Maputo, 133 malades cons¨¦cutives atteintes de l'¨¦clampsie ont ¨¦t¨¦ comprar¨¦es ¨¤ 393 femmes r¨¦f¨¦rentes qui n'¨¦taient pas atteintes de l'¨¦clampsie. Les facteurs ¨¤ risque significatifs pour l'¨¦clampsie ¨¦taient l'age de = 18 ans; la taille du m¨¦nage ¨¦tait de = 3 individus, la grossesse non d¨¦sir¨¦e, la fr¨¦quentation ¨¤ pied ¨¤ la clinique pr¨¦natale et pendant le troisi¨¨me trimestre, le mal ¨¤ la t¨ºte, l'oed¨¨me du pied, l'oed¨¨me de la main ou du visage, douleurs ¨¦pigastriques, d¨¦sordres visuels, bourdonnement d'oreilles et le vertige. De mani¨¨re significative, il y avait plus de cas que des r¨¦f¨¦rents qui n'avaient pas signal¨¦ des mesures de la pression art¨¦rielle dans les consultations pr¨¦natales. Nous avons conclu que la qualit¨¦ des consultations pr¨¦natales peut ¨ºtre am¨¦lior¨¦e ¨¤ travers un programme de sensibilisation plus pouss¨¦e de la communaut¨¦ par rapport aux signes de danger, en reconnaissant t t les facteurs de risque et par un meilleur traitement des symt mes prodromes de l'¨¦clampsie. (Rev Afr Sant¨¦ Reprod 2001; 5[2]: 30-35) In Maputo 133 consecutive eclamptic patients were compared with 393 non-eclamptic referent women. Significant risk factors for eclampsia were age < 18 years, household size < 3 individuals, unwanted pregnancy, walking to antenatal clinics and, in the third trimester, headache, foot oedema, hand or face oedema, epigastric pain, visual disturbance, ear buzzing and dizziness. Significantly more cases than referents reported no blood pressure measurements in antenatal clinics. It is concluded that the quality of antenatal clinics can be improved by enhanced community awareness of danger signs, by early recognition of risk factors and by better management of prodromal symptoms of eclampsia. (Afr J Reprod Health 2001; 5[2]:30-35) R¨¦SUM¨¦ Facteurs de risque chez les femmes mozambicaines atteintes de l'¨¦clampsie: Une ¨¦tude de cas-r¨¦f¨¦rent. A Maputo, 133 malades cons¨¦cutives atteintes de l'¨¦clampsie ont ¨¦t¨¦ comprar¨¦es ¨¤ 393 femmes r¨¦f¨¦rentes qui n'¨¦taient pas atteintes de l'¨¦clampsie. Les facteurs ¨¤ risque significatifs pour l'¨¦clampsie ¨¦taient l'age de = 18 ans; la taille du m¨¦nage ¨¦tait de = 3 individus, la %U http://www.ajol.info/index.php/ajrh/article/view/7678