Eclampsia epidemiology and demographics: Difference between revisions
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==Epidemiology and Demographics of Eclampsia== | ==Epidemiology and Demographics of Eclampsia== | ||
===Incidence=== | ===Incidence=== | ||
A systematic review conducted for the incidence of hypertensive disorders of pregnancy (HDP) with the objective of evaluating its magnitude globally representing 39 million women from 40 countries, estimates the incidence to be 4.6% (95% uncertainty range 2.7-8.2), and 1.4% (95% uncertainty range 1.0-2.0) of all deliveries for preeclampsia and eclampsia respectively, with a wide variation across regions. | A systematic review conducted for the incidence of hypertensive disorders of pregnancy (HDP) with the objective of evaluating its magnitude globally, representing 39 million women from 40 countries, estimates the incidence to be 4.6% (95% uncertainty range 2.7-8.2), and 1.4% (95% uncertainty range 1.0-2.0) of all deliveries for preeclampsia and eclampsia respectively, with a wide variation across regions.<ref name="pmid23746796">{{cite journal| author=Abalos E, Cuesta C, Grosso AL, Chou D, Say L| title=Global and regional estimates of preeclampsia and eclampsia: a systematic review. | journal=Eur J Obstet Gynecol Reprod Biol | year= 2013 | volume= 170 | issue= 1 | pages= 1-7 | pmid=23746796 | doi=10.1016/j.ejogrb.2013.05.005 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23746796 }} </ref> | ||
===Prevalance=== | ===Prevalance=== | ||
Eclampsia is a leading cause of maternal and perinatal mortality. The prevalence of eclampsia is reported to be 0.56 per 1,000 births (US data from 1979-86) versus 26 per 1,000 births for pre-eclampsia.<ref>{{cite journal |journal= Am J Obstet Gynecol. 1990 Aug;163(2): 460-5. | title=Epidemiology of preeclampsia and eclampsia in the United States, 1979-1986. |author=Saftlas AF, Olson DR, Franks AL, Atrash HK, Pokras R. |pmid=2396132}}</ref> While mortality can be kept low when antenatal care and [[maternal-fetal medicine| maternal-fetal services]] are provided, mortality rates are substantial in challenging settings. Thus in a setting in India , [[maternal mortality]] and [[perinatal mortality]] were reported to be 32% and 39%, respectively, in 1993.<ref> {{cite journal |author= Swain S, Ojha KN, Prakash A, Bhatia BD.| title=Maternal and perinatal mortality due to eclampsia. |journal=Indian Pediatr. 1993 Jun;30(6):771-3}}</ref> | Eclampsia is a leading cause of maternal and perinatal mortality. The prevalence of eclampsia is reported to be 0.56 per 1,000 births (US data from 1979-86) versus 26 per 1,000 births for pre-eclampsia.<ref>{{cite journal |journal= Am J Obstet Gynecol. 1990 Aug;163(2): 460-5. | title=Epidemiology of preeclampsia and eclampsia in the United States, 1979-1986. |author=Saftlas AF, Olson DR, Franks AL, Atrash HK, Pokras R. |pmid=2396132}}</ref> While mortality can be kept low when antenatal care and [[maternal-fetal medicine| maternal-fetal services]] are provided, mortality rates are substantial in challenging settings. Thus in a setting in India, [[maternal mortality]] and [[perinatal mortality]] were reported to be 32% and 39%, respectively, in 1993.<ref> {{cite journal |author= Swain S, Ojha KN, Prakash A, Bhatia BD.| title=Maternal and perinatal mortality due to eclampsia. |journal=Indian Pediatr. 1993 Jun;30(6):771-3}}</ref> | ||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Hypertensive disorders of pregnancy (HDP), defined as a sex-specific cardiovascular disease, is one of the leading causes of maternal and fetal morbidity and mortality globally and a critical threat to maternal and infant health. [1][2]
Epidemiology and Demographics of Eclampsia
Incidence
A systematic review conducted for the incidence of hypertensive disorders of pregnancy (HDP) with the objective of evaluating its magnitude globally, representing 39 million women from 40 countries, estimates the incidence to be 4.6% (95% uncertainty range 2.7-8.2), and 1.4% (95% uncertainty range 1.0-2.0) of all deliveries for preeclampsia and eclampsia respectively, with a wide variation across regions.[2]
Prevalance
Eclampsia is a leading cause of maternal and perinatal mortality. The prevalence of eclampsia is reported to be 0.56 per 1,000 births (US data from 1979-86) versus 26 per 1,000 births for pre-eclampsia.[3] While mortality can be kept low when antenatal care and maternal-fetal services are provided, mortality rates are substantial in challenging settings. Thus in a setting in India, maternal mortality and perinatal mortality were reported to be 32% and 39%, respectively, in 1993.[4]
References
- ↑ Garovic V, White W, Vaughan L, Saiki M, Parashuram S, Garcia-Valencia O,et al. Incidence and long-term outcomes of hypertensive disorders of pregnancy. J Am Coll Cardiol. 2020;75(18):2323–34
- ↑ Abalos E, Cuesta C, Grosso AL, Chou D, Say L (2013). "Global and regional estimates of preeclampsia and eclampsia: a systematic review". Eur J Obstet Gynecol Reprod Biol. 170 (1): 1–7. doi:10.1016/j.ejogrb.2013.05.005. PMID 23746796.
- ↑ Saftlas AF, Olson DR, Franks AL, Atrash HK, Pokras R. "Epidemiology of preeclampsia and eclampsia in the United States, 1979-1986". Am J Obstet Gynecol. 1990 Aug;163(2): 460-5. PMID 2396132.
- ↑ Swain S, Ojha KN, Prakash A, Bhatia BD. "Maternal and perinatal mortality due to eclampsia". Indian Pediatr. 1993 Jun;30(6):771-3.