Assessment Of Maternal Outcome Among Preeclamptic Women At Dilla University Referral Hospitalethiopia2019.

Background: Pre-eclampsia is hypertension in pregnancy after 20weeks of gestationrncharacterized blood pressure greater than 140/90 mm Hg, using the Korotkoff phase V soundrnfor the diastolic value, on two occasions 4 hours apart. It is one of a spectrum of pregnancyrndisorders which result in different complications and maternal death. Objective: Assessment of maternal outcome among preeclamptic women at Dilla universityrnreferral hospital, Ethiopia, 2019 rn Method: Retrospective cross-sectional study design was employed. A total of 295 samplesrnwere recruited. A systematic sampling technique was used to select study subjects who werernadmitted with preeclampsia from January1, 2016 and December 31, 2018 at Dilla UniversityrnReferral Hospital. Medical records review was done using pretested data abstraction tool.rnData was entered in EpiData version 4.4.2.1 and exported into statistical package for socialrnscience (SPSS) version 25.0 for analysis. Binary and multiple logistic regressions were usedrnto identify association between variables. Adjusted odds ratio along with 95% confidencerninterval was estimated to assess the strength of the association, and a p-value ≤ 0.05 was usedrnto declare the level of statistical significance. rnResult: In this study 295 medical charts of preeclamptic women were reviewed. The mostrn210(72.2%) of the participants were between the age of 20-34years. Severe type ofrnpreeclampsia was 174(58.0%). HELLP syndrome was most common complication of severernpreeclampsia 81(66.6%) followed by DIC, renal failure and liver failure, 25((20.5%), 9(7.4%)rnand 1(0.8%) respectively. Maternal deaths due to preeclampsia were 6 this gives case fatalityrnof 2%. In multivariable logistic regression, rural residence, severe preeclampsias, nontreatmentrnwithrnantihypertensivernandrnearlyrnonsetrnofrnpreeclampsiarnwerernsignificantlyrnassociatedrnrnwithrnunfavorablernmaternalrnoutcome.rnrnrnConclusionrnrnand recommendation: The finding of this study showed that the most commonrnmaternal complications due to preeclampsia were HELLP syndrome, DIC and renal failure.rnHealth care professionals specially who work at PHC center should take appropriate trainingsrnon immediate management and counseling a women coming for ANC and prompt referral forrnpreeclampsia women with severity sign.

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