Boubacar Siddi Diallo, Boubacar Alpha Diallo, Ibrahima Conte, Oumar Diawara, Ibrahima Sory Balde, Telly Sy, Mohamed Lamine Kaba, Yolande Hyjazi, Namory Keita
Objectives: The objectives of this work were to calculate the frequency of arterial hypertension during pregnancy, describe the epidemiological profile and identify risk factors for eclampsia. Methodology: This was a prospective of six (6) month descriptive study carried out in the obstetrics gynecology Department of the Donka National Hospital a University Teaching Hospital (CH) in Conakry. The study took place from 1 st to December 31st, 2018. Results: The frequency of arterial hypertension during pregnancy was 8.82% in the department. The epidemiological profile was that of an adolescent (32.8%), nulliparous (56%), coming from home (69.2%), having not performed ANC (52%), not schooled (68%) and housewives. Primigestity was the main risk factor (52.4%). Gestational age greater than 37 weeks was the most affected (62%). The reasons for consultation are dominated by headache (76%) and dizziness (68%). The main type of hypertension was preeclampsia (48%) followed by transient hypertension (28%) The dominant clinical form when received was pre-eclampsia (47.2%) followed by eclampsia (23%). Eclampsia was the major complication (48%). We recorded 6 cases of death that is 2.4%. At the first minute, 35.68% of new-borns had an APGAR score below 7 and by the fifth 25.5% scored below 7. Foetal morbidity was dominated by foetal hypotrophy (30.19%) followed by prematurity (23.92%). We recorded 30 cases of MFIU and 7 cases of neonatal death out of 255 births, ie 14.50%. Conclusion: The detection of risk factors by a good prenatal follow-up and the regular training of care providers for an adequate and multidisciplinary management (obstetrician, nephrologist and pediatrician) of hypertensive pregnant women and their new-borns can improve the maternal prognosis and foetal.
Boubacar Siddi Diallo, Boubacar Alpha Diallo, Ibrahima Conte, Oumar Diawara, Ibrahima Sory Balde, Telly Sy, Mohamed Lamine Kaba, Yolande Hyjazi, Namory Keita. Eclampsia risk factors during pregnancy at donka national hospital maternity, university teaching hospital Conakry. Guinea. Int. J. Reproduction Gynaecology Obstetrics 2020;2(1):06-09.