Introduction: Severe preeclampsia is a frequent cause of maternal death, and\nalso a frequent indication for caesarean deliveries when faced with the need to\nexpedite delivery. We sought complications specific to caesarean deliveries in\npatients with severe preeclampsia. Methods: It was a case-control study carried\nout over 6 months, from December 1st, 2015 to May 31st, 2016 at the\nYaounde Central and the Yaounde Gynaeco-Obstetric and Paediatric Hospitals.\nWe evaluated 159 women undergoing a caesarean delivery to assess the\nrisk of maternal and foetal postoperative complications in patients with severe\npreeclampsia. Significance level was set at 0.05. Results: The incidence of\npostoperative complications stood at 26.4%. Maternal and foetal complications\nwere more frequent in preeclamptic women at 54.5% versus 11.5% (p <\n0.05) and 47.3% versus 27.9% (p < 0.05) respectively. The incidence of adverse\nevents was greater in women with preeclampsia: pruritus and limb pain\n(RR = 2.96; p < 0.001), the persistence of high blood pressure (RR = 4.51, p <\n0.001), maternal death (RR = 2.93, p < 0.001), postpartum convulsions (RR =\n3, p < 0.001) headaches resistant to first-line analgesics (RR = 3, p < 0.001),\nDisseminated Intravascular Coagulation (DIC) (RR = 2.92, p < 0.001), a cute\npulmonary oedema (RR = 2.92, p < 0.001), prematurity (RR = 4.43, p <\n0.001), neonatal asphyxia (RR = 2.93, p < 0.001), and hyaline membrane disease\n(RR = 2.93, p < 0.001). Conclusion: Severe preeclampsia is associated with an increased risk of postoperative complications.
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