Maternal mortality from eclampsia at tertiary referral hospital, surabaya, indonesia

Globally, ten million women experience preeclampsia every year. This study aimed to analyze maternal death caused by eclampsia at Dr. Soetomo General Hospital, Surabaya, Indonesia from January 2015 to December 2016. A cross-sectional study analyzed eclampsia patients’ medical records in which the patients died in Dr. Soetomo General Hospital, Surabaya from January 2015 to December 2016. There were 20 deaths from 63 eclampsia cases; all of the women were in non-booked cases. Case Fatality Rate (CFR) was 31.74%, 11% >35 years old, 20% less than 1 day, 65% of cases diagnosed with hypertension and preeclampsia, recurrent seizures occurring in 40% of cases, 40% diagnosed at 32-36 weeks of gestation, 65% ending in sepsis, 35% accompanied by bleeding in the brain, 55% with HELLP syndrome, 25% with obesity, and 55% with renal failure. Maternal death caused by eclampsia had considerably high proportion of non-booked case, high CFR, less than 1 day of length of stay, and comorbid obesity.