TITLE:
Pre-Eclampsia in the Gynecology and Obstetrics Department of the Chadian and Chinese Friendship University Hospital Center: Epidemiology and Prognosis
AUTHORS:
Gabkika Bray Madoué, Mahamat Alhadi Chene, Aché Haroune, Mihimit Abdoulaye, Hissein Adanao Mahamat, Mbodou Mahamat, Hawaye Chérif, Zeinab Daoud, Foumsou Lhagadang
KEYWORDS:
Preeclampsia, Complication, CCFUHC
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.11,
November
21,
2025
ABSTRACT: Introduction: Pre-eclampsia is a systemic condition characterized by hypertensive disorders that can interfere with the normal course of pregnancy. Objective: We analyze factors associated with severe pre-eclampsia. Patients and Method: This was a descriptive and analytical cross-sectional study covering a period of 12 months from 1st April 2024 to 31st March 2025 perform in the Gynecology and Obstetrics Department of the Chadian and Chinese Friendship University Hospital Center (CCFUHC). All patients admitted for pre-eclampsia during the study period were included in this study. With gestational term ≥20th weeks, studied variables were sociodemographic, clinical, paraclinical, therapeutic, and prognostic. Statistical analysis was performed using then value (significant when ≤5%). Results: We recorded 160 cases of pre-eclampsia among 6218 deliveries, giving a frequency of 2.6%. The age group of 16 - 20 years accounted for 41.9. Most of the patients were married (97.5%) and the majority came from urban areas (69.4%). Primigravida represented 49.4% and a history of pre-eclampsia was reported in 6.9%. In 25%, patients had not attended prenatal cares. In 75.6%, patients had had gestational age was between 37 and 40 weeks. The Pre-eclampsia was severe in 55%. Magnesium sulphate was given in 96.9%. Lung maturation was achieved in 19.4%. Antihypertensive drugs were prescribed in 48.1%. In 70.6% patients have delivered by caesarean section. The Apgar score was between 8 and 10 for 78.8% of newborns. In 22% fetal complications were recorded. We reported 15.6% cases of maternal complication. A history of pre-eclampsia, the delivery route and the occurrence of maternal complications were significantly associated with severe pre-eclampsia. Conclusion: Pre-eclampsia remains a public health problem, exposing pregnant women and fetuses to risks of morbidity and mortality. Thus, careful monitoring during pregnancy is necessary in order to prevent complications.