MEDLINE

Pre-eclampsia, eclampsia and

adverse maternal and perinatal
outcomes: a secondary analysis of
the World Health Organization
Multicountry Survey on Maternal
and Newborn Health.
Abstract
To assess the incidence of hypertensive disorders of
pregnancy and related severe complications, identify other
associated factors and compare maternal and perinatal
outcomes in women with and without these conditions.
Secondary analysis of the World Health Organization
Multicountry Survey on Maternal and Newborn Health
(WHOMCS) database.
Cross-sectional study implemented at 357 health facilities
conducting 1000 or more deliveries annually in 29 countries
from Africa, Asia, Latin America and the Middle East.
All women suffering from any hypertensive disorder during
pregnancy, the intrapartum or early postpartum period in the
participating hospitals during the study period.
We calculated the proportion of the pre-specified outcomes in
the study population and their distribution according to
hypertensive disorders' severity. We estimated the association
between them and maternal deaths, near-miss cases, and
severe maternal complications using a multilevel logit model.
Hypertensive disorders of pregnancy. Potentially lifethreatening conditions among maternal near-miss cases,
maternal deaths and cases without severe maternal outcomes.

Overall, 8542 (2.73%) women suffered from hypertensive

disorders. Incidences of pre-eclampsia, eclampsia and chronic
hypertension were 2.16%, 0.28% and 0.29%, respectively.
Maternal near-miss cases were eight times more frequent in
women with pre-eclampsia, and increased to up to 60 times
more frequent in women with eclampsia, when compared
with women without these conditions.
The analysis of this large database provides estimates of the
global distribution of the incidence of hypertensive disorders
of pregnancy. The information on the most frequent
complications related to pre-eclampsia and eclampsia could
be of interest to inform policies for health systems
organisation.

Citation
Pre-eclampsia, eclampsia and adverse maternal and
perinatal outcomes: a secondary analysis of the World
Health Organization Multicountry Survey on Maternal and
Newborn Health.
Abalos E, Cuesta C, Carroli G, Qureshi Z, Widmer M, Vogel
JP, Souza JP, - BJOG - March 1, 2014; 121 Suppl 1 (); 14-24
MEDLINE is the source for the citation and abstract for this
record
Full Source Title
BJOG : an international journal of obstetrics and
gynaecology
NLM Citation ID
24641531 (http://www.ncbi.nlm.nih.gov/pubmed/24641531.1)

(PubMed ID)
Language
eng
Author Affiliation
Authors
Abalos E, Cuesta C, Carroli G, Qureshi Z, Widmer M,
Vogel JP, Souza JP,

MeSH Terms (23)

Adolescent

Adult
Africa /epidemiology
Asia /epidemiology
Cross-Sectional Studies
Eclampsia /mortality * /prevention & control
Female
Gestational Age
Health Care Surveys
Humans
Infant Mortality
Infant, Newborn
Latin America /epidemiology
Maternal Mortality
Maternal-Child Health Centers * /organization &
administration /standards
Middle East /epidemiology
Parity
Policy Making
Practice Guidelines as Topic
Pre-Eclampsia /mortality * /prevention & control
Pregnancy
World Health Organization
Young Adult

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