PDF(Pubmed)
Abstract：
UNASSIGNED: West Bengal is experiencing an unanticipated risk of eclampsia among pregnant women and it persists as the leading cause of maternal mortality. This study aimed to investigate the predictors for maternal deaths due to eclampsia in West Bengal.
UNASSIGNED: The study adopted retrospective mixed methods covering facility and community-based maternal death review approaches. Facility-based data were used for 317 deceased cases wherein the community-based review approach was used in 40 cases. An in-depth interview was also performed among 12 caregivers.
UNASSIGNED: One-third of maternal deaths occurred due to eclampsia, and this accounted for the leading cause of maternal deaths in West Bengal. A younger age, a primigravida or nulliparous status, absence of antenatal care (ANC), and residence in rural areas appeared to have the highest risk of developing eclampsia. The majority of pregnant women had an irregular antenatal check-up history, particularly during the second trimester of pregnancy. The rate of eclampsia-related maternal death was higher in women residing more than 49 km from the studied hospitals. Most of the deceased women were referred to three or more hospitals before their death. Gravidity, the number of ANC visits, the mode of delivery, and delays at different levels were significant confounders of death due to eclampsia. The risk of death due to eclampsia was two times higher among women without ANC and those who had a cesarean section than that in their counterparts.
UNASSIGNED: Women in West Bengal have a high risk of preeclampsia and eclampsia resulting in maternal mortality and morbidity. Gravidity, the number of ANC visits, the mode of delivery, and delays in recognition of eclampsia contribute to the risk of maternal deaths. The establishment of separate eclampsia units, enhanced screening, and preventive and treatment procedures may optimize managing eclampsia.
UNASSIGNED: The study adopted retrospective mixed methods covering facility and community-based maternal death review approaches. Facility-based data were used for 317 deceased cases wherein the community-based review approach was used in 40 cases. An in-depth interview was also performed among 12 caregivers.
UNASSIGNED: One-third of maternal deaths occurred due to eclampsia, and this accounted for the leading cause of maternal deaths in West Bengal. A younger age, a primigravida or nulliparous status, absence of antenatal care (ANC), and residence in rural areas appeared to have the highest risk of developing eclampsia. The majority of pregnant women had an irregular antenatal check-up history, particularly during the second trimester of pregnancy. The rate of eclampsia-related maternal death was higher in women residing more than 49 km from the studied hospitals. Most of the deceased women were referred to three or more hospitals before their death. Gravidity, the number of ANC visits, the mode of delivery, and delays at different levels were significant confounders of death due to eclampsia. The risk of death due to eclampsia was two times higher among women without ANC and those who had a cesarean section than that in their counterparts.
UNASSIGNED: Women in West Bengal have a high risk of preeclampsia and eclampsia resulting in maternal mortality and morbidity. Gravidity, the number of ANC visits, the mode of delivery, and delays in recognition of eclampsia contribute to the risk of maternal deaths. The establishment of separate eclampsia units, enhanced screening, and preventive and treatment procedures may optimize managing eclampsia.
摘要：
■西孟加拉邦正在经历孕妇中未预料到的子痫风险，并且它仍然是孕产妇死亡的主要原因。本研究旨在调查西孟加拉邦子痫孕产妇死亡的预测因素。
■本研究采用回顾性混合方法，涵盖设施和基于社区的孕产妇死亡审查方法。317例死亡病例使用了基于设施的数据，其中40例使用了基于社区的审查方法。还对12名护理人员进行了深入访谈。
■三分之一的产妇死亡是由子痫引起的，这是西孟加拉邦孕产妇死亡的主要原因。更年轻的年龄，初生或未产状态，没有产前护理（ANC），和居住在农村地区似乎有发生子痫的最高风险。大多数孕妇有不规则的产前检查史,特别是在怀孕的中期。在距所研究医院49公里以上的妇女中，与子痫相关的孕产妇死亡率更高。大多数已故妇女在去世前被转诊到三家或更多医院。重力,非国大访问的次数,交付方式，不同程度的延迟是子痫导致死亡的显著混杂因素。没有ANC和剖宫产的妇女因子痫而死亡的风险是同组妇女的两倍。
西孟加拉邦妇女患先兆子痫和子痫的风险很高，导致产妇死亡和发病。重力,非国大访问的次数,交付方式，和对子痫的认识延迟导致孕产妇死亡的风险。建立单独的子痫单位，加强筛查,预防和治疗程序可以优化管理子痫。
■本研究采用回顾性混合方法，涵盖设施和基于社区的孕产妇死亡审查方法。317例死亡病例使用了基于设施的数据，其中40例使用了基于社区的审查方法。还对12名护理人员进行了深入访谈。
■三分之一的产妇死亡是由子痫引起的，这是西孟加拉邦孕产妇死亡的主要原因。更年轻的年龄，初生或未产状态，没有产前护理（ANC），和居住在农村地区似乎有发生子痫的最高风险。大多数孕妇有不规则的产前检查史,特别是在怀孕的中期。在距所研究医院49公里以上的妇女中，与子痫相关的孕产妇死亡率更高。大多数已故妇女在去世前被转诊到三家或更多医院。重力,非国大访问的次数,交付方式，不同程度的延迟是子痫导致死亡的显著混杂因素。没有ANC和剖宫产的妇女因子痫而死亡的风险是同组妇女的两倍。
西孟加拉邦妇女患先兆子痫和子痫的风险很高，导致产妇死亡和发病。重力,非国大访问的次数,交付方式，和对子痫的认识延迟导致孕产妇死亡的风险。建立单独的子痫单位，加强筛查,预防和治疗程序可以优化管理子痫。
