%0 Journal Article
%T Maternal and Foetal Outcomes Associated with Caesarean Deliveries in Patients with Severe Preeclampsia in Two Teaching Hospitals, Yaoundé
%A Essiben F¨¦lix
%A Ngo Um Meka Esther
%A Mve Koh Val¨¨re
%A Gwos Laurentine
%A Ojong Samuel
%A Foumane Pascal
%J Open Journal of Obstetrics and Gynecology
%P 1271-1281
%@ 2160-8806
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojog.2018.813129
%X <strong>Introduction: </strong><span style=\"font-family:Verdana;\">Severe preeclampsia is a frequent
cause of maternal death, and also a frequent indication for caesarean
deliveries when faced with the need to expedite delivery. We sought
complications specific to caesarean deliveries in patients with severe
preeclampsia. </span><strong><span style=\"font-family:Verdana;\">Methods:</span></strong><span style=\"font-family:Verdana;\"> It was a case-control study carried out over 6 months,
from December 1st, 2015 to May 31st, 2016 at the Yaound¨¦ Central and the
Yaound¨¦ Gynaeco-Obstetric and Paediatric Hospitals. We evaluated 159 women
undergoing a caesarean delivery to assess the risk of maternal and foetal
postoperative complications in patients with severe preeclampsia. Significance
level was set at 0.05.</span><strong><span style=\"font-family:Verdana;\"> Results:</span></strong><span style=\"font-family:Verdana;\"> The incidence of postoperative complications
stood at 26.4%. Maternal and foetal complications were more frequent in
preeclamptic women at 54.5% versus 11.5% (p &lt; 0.05) and 47.3% versus 27.9%
(p &lt; 0.05) respectively. The incidence of adverse events was greater in
women with preeclampsia: pruritus and limb pain (RR = 2.96; p &lt; 0.001), the
persistence of high blood pressure (RR = 4.51, p &lt; 0.001), maternal death
(RR = 2.93, p &lt; 0.001), postpartum convulsions (RR = 3, p &lt; 0.001)
headaches resistant to first-line analgesics (RR = 3, p &lt; 0.001),
Disseminated Intravascular Coagulation (DIC) (RR = 2.92, p &lt; 0.001), a cute
pulmonary oedema (RR = 2.92, p &lt; 0.001), prematurity (RR = 4.43, p &lt;
0.001), neonatal asphyxia (RR = 2.93, p &lt; 0.001), and hyaline membrane
disease (RR = 2.93, p &lt; 0.001). </span><strong><span style=\"font-family:Verdana;\">Conclusion:</span></strong><span style=\"font-family:Verdana;\"> Severe preeclampsia is
associated with an increased risk of postoperative complications.</span>
%K Preeclampsia
%K Postoperative Complications
%K Caesarean Section
%K Yaound&#233
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=88265