), 24.three intra partum (17 instances) and 31.four postpartum (22 circumstances) (Figure 1). Thirty-four individuals (48.5 ) have been ,25 years old and 13 individuals (18.5 ) have been teenagers. Thirty-two women presented using a gestational age of 37 weeks (45.7 ) and 38 ladies (54.two ) have been ,37 weeks (Figure 2). Additional, 65.7 on the sufferers had been primiparous (46 circumstances) and 34 .3 had been multiparous (24 instances). Twenty-eight cases (40 ) have been Qataris and 42 cases (60 ) have been non-Qataris (Figure three). From the individuals, 54.2 had been beneath the age of 25 years and 18.5 were teenagers. Diagnosis on admission was eclamptic fits in 34.3 of your situations (24 ladies), 13 of them have been referred in the general emergency space; 38.five on the girls were admitted with all the diagnosis of pre-eclampsia (27 cases)–14 of them had extreme pre-eclampsia (20 ) and 13 had mild pre-eclampsia (18.5 ). Sixteen35 No:of eclamptic patients32 (45.7 )Materials AND METHODSA retrospective study was conducted at the Women’s Hospital and Al Khor Hospital Obstetrics and Gynecology department by reviewing the medical record files of all ladies diagnosed to possess eclampsia admitted throughout the period on the study, from January 1991 to December 2009. The total annual delivery rate through the study period ranged from 9452 to 15,952 deliveries. The total30 25 20 15 10 five 0 age 226 age 272 age 336 age 37 over Gestational Age4 (five.7 ) 18 (25.7 ) 16 (22.8 )Figure two. Gestational age distribution for eclamptic patient.QATAR Medical JOURNALVOL. 2012 / NO. 2 /A overview of eclampsia in Qatar: A twenty-year study (from January 1991-December 2009)Sharara40Qataris Non-Qataris60Figure three. Nationality of eclamptic patients.situations of PE (22.9 ) have been admitted with symptoms of impending eclampsia. Ten instances of eclamptic fit (14.three ) had standard blood stress on admission ,130/80 mmHg. Thirteen girls were admitted with labour pains (18.5 ), eight.7 of individuals had been admitted for different factors; of them 2 with upper respiratory tract infection and two with pre-term labour pain. One patient was admitted with ante-partum hemorrhage and 1 patient was admitted for suspicion of spontaneous rapture of membranes (Figure four). Twenty-one individuals (30 ) had no antenatal visits. Forty-five circumstances (64 ) had been delivered by Cesarean section (CS) and 25 patients (36 ) had been delivered vaginally. In the vaginal deliveries, seven situations had been delivered by vacuum (10 ), which have been accomplished for intrapartum eclampsia. Seventeen instances underwent standard vaginal delivery (24 ), and a single case underwent assisted breech delivery (Figure five). Of people who delivered vaginally (25 individuals), 14 of them had post-partum eclampsia (20 ) and only 3 had ante-partum eclampsia who had been induced at 25, 27 and 29 weeks gestation and delivered.Zoliflodacin The indications of CS had been ante-partum eclampsia in 26 cases (37 ), intra-partum eclampsia in four circumstances (57 ), non-reassuring cardiotocography in ten cases (14.Theophylline two ) and serious pre-eclampsia in 5 circumstances (7 ).PMID:23546012 Eleven circumstances (15.7 ) had post-partum eclampsia just after CS, six of them had their first match following the cesarean; 3 had a previous ante-partum match and one particular case had a prior intra-partum match. The drugs made use of integrated anticonvulsants and antihypertensives. Forty-one situations (58.five ) of your females have been offered magnesium sulfate, 21 circumstances (30 ) received diazepam, 5 circumstances (7 ) diazepam and phenytoin, five situations (7 ) made use of diazepam and magnesium sulfate and two situations (3 ) diazepam, magnesium sulfate and phenytoin. The antihypertensives applied have been hydralazin.