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Burden Of Pre-Eclampsia and Eclampsia in Ethiopia

Burden Of Pre-Eclampsia and Eclampsia in Ethiopia Mengistu Hailemariam(MD),FMOH. Presentation Outline. Background information Maternal mortality in Ethiopia Causes of Maternal mortality Burden of Pre-eclampsia/Eclampsia Interventions.

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Burden Of Pre-Eclampsia and Eclampsia in Ethiopia

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  1. Burden Of Pre-Eclampsia and Eclampsia in Ethiopia Mengistu Hailemariam(MD),FMOH

  2. Presentation Outline • Background information • Maternal mortality in Ethiopia • Causes of Maternal mortality • Burden of Pre-eclampsia/Eclampsia • Interventions

  3. Background Information, 2011 Ethiopia: Nine Administrative Regions -Two City Administration -817 woredas (districts) >15,000 Kebeles Tot. Pop., 79,221,000 Annual Expected Pregnancies≈3 million

  4. Maternal mortality in Ethiopia Maternal Mortality Ratio MMR 1990 1068 (UN Estimate) MMR 2000 871 (EDHS 2000) MMR 2005 673 (EDHS 2005) MMR2008 470( WHO 2008) MDG target MMR 267

  5. Causes of Maternal Death

  6. Burden of Preeclampsia/Eclampsia • Though hypertensive disorders of pregnancy are common in daily practice in our set up, there is no national study &there are only few studies in health institutions & there is a paucity of studies in the area. • A retrospective review of 6 articles on hypertensive disorders of pregnancy were identified from 1966 to 2007.

  7. Summary of the Studies

  8. Distribution of cases by age

  9. Distribution of cases by diagnosis

  10. intervention

  11. Management of eclampsia

  12. CASE FATALITY RATE 7 (3.2%) mothers died before delivery

  13. PERINATAL MORTALITY

  14. Maternal morbidity

  15. Interventions to address pre-eclampsia/Eclampsia -The nation has identified that PE/E is one of the major causes of maternal mortality and various endeavors are ongoing: 1.Capacity Buiding -The preservice trainings of all health care providers have been made to address the issue of PE/E adequately -Inservice trainings on the management of PE/E using the gold standard Mgso4 are being given for health care providers of both the public and private health facilities -National Obstetrics service guideline has been revised to include use of Mgso4.

  16. Interventions to address pre-eclampsia/Eclampsia 2. Logistics -All the necessary supplies and equipments are being availed to health facilities for management of PE/E 3. Supportive supervision

  17. Thank You

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