Clinical Study

Eclampsia Characteristics and Outcomes: A Comparison of Two Eras

Table 1

Characteristics of eclampsia cases.

CharacteristicAntenatal cases
n/ (%) or
mean ± SD
Postnatal cases
n/ (%) or
mean ± SD
P valueEarly eclampsia
n/ (%) or
mean ± SD
Late eclampsia n/ (%) or
mean ± SD
P valueAll cases n/ (%) or
mean ± SD

Maternal age (years) 0.954 0.691
Race
 African American54/62 (87%)22/25 (88%)>0.9915/21 (71%)39/41 (95%)0.47976/87 (87%)
 Caucasian6/62 (10%)3/25 (12%)>0.995/21 (24%)1/41 (2%)0.0549/87 (10%)
 Hispanic
2/62 (3%)0/25 (0%)>0.991/21 (5%)1/41 (2%)>0.992/87 (2%)
Primigravida37/62 (60%)9/25 (36%)0.04513/21 (62%)24/41 (59%)0.13146/87 (53%)
Vaginal delivery15/61 (25%)20/25 (80%)<0.0011/21 (5%)14/40 (35%)0.01535/86 (41%)
C/S not preceded by labor30/61 (49%)0/25 (0%)<0.00116/21 (76%)14/40 (35%)0.06630/86 (35%)
C/S preceded by labor16/61 (26%)5/25 (20%)0.7534/21 (19%)12/40 (30%)0.54521/86 (24%)
Induction of labor21/57 (37%)11/22 (50%)0.3162/19 (11%)17/38 (45%)0.14432/79 (41%)
Assisted delivery5/52 (10%)1/24 (4%)0.6580/19 (0%)5/33 (15%)0.1456/76 (8%)
Mean GA at delivery (weeks)34.1 ± 5.138.4 ± 2<0.00127.9 ± 2.337.3 ± 2.6<0.00135.3 ± 4.8
Chronic hypertension4/61 (7%)0/25 (0%)0.3183/21 (14%)1/40 (3%)0.1134/86 (5%)
Diabetes mellitus1/61 (2%)0/25 (0%)>0.990/21 (0%)1/40 (3%)>0.991/86 (1%)
Underlying renal disease0/60 (0%)0/24 (0%)0/20 (0%)0/40 (0%)0/84 (0%)
Highest uric acid (mg/dL) 0.2 0.204
Highest systolic BP (mm Hg) 0.027 0.991
Highest diastolic BP (mm Hg) 0.01 0.857
Highest AST (mg/dL) 0.245 0.191
Highest LDH (mg/dL) 0.165 0.225
Lowest platelet count <0.001 0.006
Highest creatinine (mg/dL) 0.349 0.239
≥1+ proteinuria 28/34 (82%)7/18 (39%)0.00211/12 (92%)17/22 (77%)0.38935/52 (67%)
Headache36/56 (64%)16/24 (67%)0.83812/19 (63%)24/37 (65%)0.952/80 (65%)
Visual disturbances15/56 (27%)5/24 (21%)0.7793/19 (16%)12/37 (32%)0.2220/80 (25%)
RUQ or epigastric pain4/56 (7%)1/24 (4%)>0.992/19 (11%)2/37 (5%)0.5985/80 (6%)

Mean highest laboratory values refer to those obtained during hospital admission.
LDH: lactate dehydrogenase; AST: aspartate aminotransferase; SD: standard deviation; BP: blood pressure; CS: cesarean section; GA: gestational age; RUQ: right upper quadrant.
* : total of cases in which information about the characteristic being studied is available; n: number of cases with the characteristic being studied.
Unable to obtain.