CARACTERISTIQUES EPIDEMIO-CLINIQUES, THERAPEUTIQUES ET EVOLUTIVES DE L'ECLAMPSIE GRAVE EN REANIMATION AU CHU DE COCODY (ABIDJAN - COTE D'IVOIRE).

Objective: to describe the epidemio-clinical and evolutionary characteristics of severe eclampsia in the intensive care unit. Patients and method: retrospective descriptive and analytical study from 2014 to 2018 carried out in intensive care of the Cocody University Hospital including severe eclamptics with organic failure. Results: The average prevalence was 12.1%. The mean age was 24.3±6.7 years. Primigravidae and primiparae were the most exposed. The mean time to admission was 16.9±16.7 hours. The mean Glasgow score at admission was 10.2±2.2 and 17.5% of patients had severe hypertension. Associated complications were dominated by the HELLP syndrom (33.6%). Specific treatment was magnesium sulphate (82.1%). Treatment non-compliance was 31.6%. The average length of hospitalization was 3.8±4.3 days. Mortality was 15.3%. Age = 25 years, primigravida, Glasgow score < 8, associated complications, non-use of MgSO4 and therapeutic non-observance were statistically significantly associated with maternal death. Conclusion: Eclampsia remains a critical issue for maternal health. Prevention relies on early management and awareness during antenatal consultations. [ABSTRACT FROM AUTHOR]