Epidemio-Clinical Profile Of Preeclamps In The City Of Goma, Democratic Republic Of Congo (Drc)

Research Article
Kyembwa Mulyumba M., Bosenge Nguma JD., Juakali SKV., Modia O’yandjo A., Katenga Bosunga G., Komanda Likwekwe E., Manga Okenge P and Kakoma Sakatolo JB
DOI: 
http://dx.doi.org/10.24327/ijrsr.2018.0903.1848
Subject: 
science
KeyWords: 
Preeclampsia, Epidemiology, Goma, DRC
Abstract: 

Introduction: The purpose of our study was to report the epidemiological and clinical profile of preeclamps at Goma and to describe the maternal-fetal prognosis in relation to the different clinical presentations recorded. Methods: This was a multi-center study conducted in four hospitals in Goma, North Kivu Province, from January 1, 2013 to December 31, 2017. Only pre-eclamps with no history of high blood pressure, and whose outcome was pregnancy was known were included. Results: Ninety two pregnant women diagnosed with preeclampsia were enrolled, aged 18 to 42 years. For the period covered by this multi-center study, the prevalence of preeclampsia was 0.5%. Preeclampsia was common among pregnant women aged 20 to 34, married, at the secondary level, no profession, primigest, whose overweight term was overweight, having attended at least four antenatal visits, with edema of the lower limbs. The great prematurity was observed in all the primigestes. The mild form of preeclampsia was the most recorded and in the great majority the delivery was performed by caesaren section. In the majority of cases, a sufficient birth weight was noted in neonates of the preeclamptic mothers of the series. Half of newborn deaths and the only case of maternal death were attributed to the severe form of preeclampsia. Conclusion: The pre-eclamptic profile of the city of Goma in the DRC, as well as the maternal-fetal prognostic elements coincide with those described by the majority of studies, especially African black literature. However, the prevalence recorded in this study appears to be much lower than that described by the majority of authors in the same region. A subsequent analytical study will identify the factors that may explain this low prevalence.