Introduction: Eclampsia is a common cause of maternal mortality in developing\ncountries. The objective of this study is to evaluate the practice of anesthesia\nfor eclampsia in tropical Africa. Patients and Methods: Retrospective\ndescriptive study on the parturients who benefited from eclampsia anesthesia\nin the operating theaters of the gynecology and obstetrics department, the\nUniversity Hospital Center (CHU) of Bouake over a two-year period (January\n2015 to December 2016). The parameters studied were: anesthetic risk assessment,\nanesthetic management, immediate anesthetic and post-anesthetic\naccidents and incidents. Results: Out of a total of 3831 emergency cesarean\nsections, 65 were for eclampsia, or 1.69% of obstetrical surgical activity. The\nmean age of the patients was 20.30 �± 3.34 years (range: 14 years and 39 years).\nPrenatal consultation was not performed in 70% of cases and 85% of patients\nwere primiparous. Patients classified as ASA IIIU accounted for 75% of the\npopulation and in 62% of cases, the Glasgow score was between 9 and 12. Induction\nwas achieved with thiopental in 98% of patients and vecuronium was\nthe only muscle relaxant used. The most common fetal complications were\nhypotrophy (50%), prematurity (30%) and respiratory distress (40%). Postoperative\nanesthetic complications were agitation (70%) and wake delay\n(15%). Maternal mortality was 5% and the neonatal death rate was around\n7.69%. The elements of poor maternal prognosis were the ASA IVU class (P =\n0.015) and the Aldrete awakening score between 3 and 5 awakening (P =\n0.001). Conclusion: Anesthesia for eclampsia at CHU of Bouake is difficult. It\nneeds to be improved thanks to better equipment of the health structures.
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