Shin JE, Nam SY, Lee Y, Lee G, Shin JC, Kim YH, Kil KC. Comparison of outcomes after typical and atypical eclampsia: a retrospective study.
J Matern Fetal Neonatal Med 2012;
25:2419-23. [PMID:
22671915 DOI:
10.3109/14767058.2012.699117]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE
To evaluate the characteristics, clinical features and maternal-perinatal outcomes after atypical eclampsia.
METHODS
In a retrospective study, we compared demographics, clinical characteristics and outcomes between typical and atypical eclampsia.
RESULTS
Of 90 eclamptic patients, 56 had typical eclamptic features and 34 had atypical features. Compared to typical eclampsia, atypical eclampsia had higher gestational age (37.6 ± 3.3 vs. 34.6 ± 4.2 weeks, p = 0.001), a higher incidence of no antenatal risk factors [25 (73.5%) vs. 12 (21.4%), p < 0.001], less antepartum seizures [11 (32.4%) vs. 45 (80.4%), p < 0.001], a lower incidence of prodromal symptoms [20 (58.5%) vs. 49 (87.5%), p = 0.002], and a higher incidence of no lesion in brain imaging [16 (47.1%) vs. 12 (21.4%), p = 0.010). Although atypical eclampsia was associated with a lower odd ratio (OR) in composite perinatal complications (OR = 0.22, 95% CI = 0.08-0.60, p = 0.003), composite maternal complications did not differ between the two groups (OR = 0.52, 95% CI = 0.08-0.60, p =0.191).
CONCLUSIONS
Maternal outcomes did not differ between the two groups. Therefore, more attention should be focused on atypical eclampsia.
Collapse