Risk factors of maternal death in preeclampsia
Aim. To determine the factors contributing to maternal death due to preeclampsia.Materials and Methods. We performed a retrospective study of 149 maternal deaths from preeclampsia during 2013-2017, which included the analysis of birth histories, medical records, individual observation cards, outpati...
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Kemerovo State Medical University
2021-03-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/369 |
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| author | S. D. Babazhanova A. S. Lyubchich Yu. K. Jabbarova |
| author_facet | S. D. Babazhanova A. S. Lyubchich Yu. K. Jabbarova |
| author_sort | S. D. Babazhanova |
| collection | DOAJ |
| description | Aim. To determine the factors contributing to maternal death due to preeclampsia.Materials and Methods. We performed a retrospective study of 149 maternal deaths from preeclampsia during 2013-2017, which included the analysis of birth histories, medical records, individual observation cards, outpatient records, and questionnaires of healthcare workers and relatives.Results. Preeclampsia was responsible for 24.1% of maternal deaths over 5 years (2013-2017). The causes of death in women with preeclampsia were: pulmonary oedema (33/149, 22.2% cases), acute renal failure (33/149, 22.2%), cerebral complications (43/149, 28.6%), and hepatic impairment (acute fatty liver of pregnancy or HELLP syndrome, 45/149, 30.2%). The majority of pregnant women admitted in critical condition because of acute fatty liver of pregnancy or HELLP syndrome (45/149, 30.2%), eclampsia at home (25/149, 16.8%), or severe hypertension (114/149, 76.5%). The majority of those who died from preeclampsia had premature births (86/149, 57.7%) and delivered by caesarean section (117, 78.5%), yet the latter was associated with a higher risk of maternal death in case of preeclampsia (OR = 30.028. 95% CI = 15.277-59.022) as compared with vaginal delivery. Risk factors of the maternal death in preeclampsia included late hospitalization (66% of deaths), inadequate antenatal care (64.4%), incorrect route of examination and hospitalization (31.6%), underestimation of the patient's condition (42.3 %), insufficient monitoring during pregnancy, childbirth and post childbirth (48.8%), and insufficient teamwork of medical staff (42.2%).Conclusions. Insufficient knowledge of preeclampsia symptoms by pregnant women and their families, insufficient monitoring of blood pressure, underestimation of organ dysfunction, late hospital admission, late delivery, insufficient antihypertensive therapy, delivery at elevated blood pressure, and insufficient teamwork of healthcare professionals increase the risk of maternal mortality in the patients with preeclampsia. |
| format | Article |
| id | doaj-art-7de5796488244cd49e8b6e3fc48909dd |
| institution | Kabale University |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2021-03-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-7de5796488244cd49e8b6e3fc48909dd2025-08-20T03:42:38ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412021-03-0161273110.23946/2500-0764-2021-6-1-27-31247Risk factors of maternal death in preeclampsiaS. D. Babazhanova0A. S. Lyubchich1Yu. K. Jabbarova2Republican Perinatal CentreRepublican Perinatal CentreRepublican Perinatal CentreAim. To determine the factors contributing to maternal death due to preeclampsia.Materials and Methods. We performed a retrospective study of 149 maternal deaths from preeclampsia during 2013-2017, which included the analysis of birth histories, medical records, individual observation cards, outpatient records, and questionnaires of healthcare workers and relatives.Results. Preeclampsia was responsible for 24.1% of maternal deaths over 5 years (2013-2017). The causes of death in women with preeclampsia were: pulmonary oedema (33/149, 22.2% cases), acute renal failure (33/149, 22.2%), cerebral complications (43/149, 28.6%), and hepatic impairment (acute fatty liver of pregnancy or HELLP syndrome, 45/149, 30.2%). The majority of pregnant women admitted in critical condition because of acute fatty liver of pregnancy or HELLP syndrome (45/149, 30.2%), eclampsia at home (25/149, 16.8%), or severe hypertension (114/149, 76.5%). The majority of those who died from preeclampsia had premature births (86/149, 57.7%) and delivered by caesarean section (117, 78.5%), yet the latter was associated with a higher risk of maternal death in case of preeclampsia (OR = 30.028. 95% CI = 15.277-59.022) as compared with vaginal delivery. Risk factors of the maternal death in preeclampsia included late hospitalization (66% of deaths), inadequate antenatal care (64.4%), incorrect route of examination and hospitalization (31.6%), underestimation of the patient's condition (42.3 %), insufficient monitoring during pregnancy, childbirth and post childbirth (48.8%), and insufficient teamwork of medical staff (42.2%).Conclusions. Insufficient knowledge of preeclampsia symptoms by pregnant women and their families, insufficient monitoring of blood pressure, underestimation of organ dysfunction, late hospital admission, late delivery, insufficient antihypertensive therapy, delivery at elevated blood pressure, and insufficient teamwork of healthcare professionals increase the risk of maternal mortality in the patients with preeclampsia.https://fcm.kemsmu.ru/jour/article/view/369preeclampsiamaternal mortalityarterial hypertensioncaesarean sectionmaternal deaths |
| spellingShingle | S. D. Babazhanova A. S. Lyubchich Yu. K. Jabbarova Risk factors of maternal death in preeclampsia Фундаментальная и клиническая медицина preeclampsia maternal mortality arterial hypertension caesarean section maternal deaths |
| title | Risk factors of maternal death in preeclampsia |
| title_full | Risk factors of maternal death in preeclampsia |
| title_fullStr | Risk factors of maternal death in preeclampsia |
| title_full_unstemmed | Risk factors of maternal death in preeclampsia |
| title_short | Risk factors of maternal death in preeclampsia |
| title_sort | risk factors of maternal death in preeclampsia |
| topic | preeclampsia maternal mortality arterial hypertension caesarean section maternal deaths |
| url | https://fcm.kemsmu.ru/jour/article/view/369 |
| work_keys_str_mv | AT sdbabazhanova riskfactorsofmaternaldeathinpreeclampsia AT aslyubchich riskfactorsofmaternaldeathinpreeclampsia AT yukjabbarova riskfactorsofmaternaldeathinpreeclampsia |