Abstract:
Background: Preeclampsia is a multisystem hypertensive disorder of pregnancy with new onset after 20 weeks
gestation which is a leading cause of worldwide maternal and fetal morbidity-mortality. Objective: To assess causes of ICU
admission and outcomes among pre-eclampsia and eclampsia mothers admitted to Jimma University Specialized Hospital.
Methods: A retrospective cross sectional study was conducted at JUSH from May 3 to 8, 2015, all ICU admitted preeclampsia
and eclampsia mother’s records from January 1, 2010 to December 31, 2014 were included by consecutive sampling with
inclusion and exclusion criteria. Causes of admission, complications and outcomes were obtained from patient records and
analyzed by SPSS version 16.0, finally the results presented using simple frequency tables and figures. Chi square (x2) test
calculated to analyze the statistical association between patients outcome and other variables, p-value less than 0.05 was
considered statistically significant. Result: A total of 1981 patients admitted to Jimma University specialized hospital ICU over
the last five years (January 1, 2010 to December 31, 2014) from this 326 of them were preeclampsia and eclampsia mothers
and this gives admission rate of 16.5%. For this study only total of 314 preeclampsia and eclampsia mothers records were used
and 12mothers cards were excluded by exclusion criteria. The main causes of admission to ICU were eclampsia 106 (33.8%),
General condition need close observation 77(24.5%), pulmonary edema 63 (20.1%), postoperative bleeding 31(9.9%) While
the main complications were pulmonary edema 82(26.1%), acute renal injury 76(24.2), HELLP syndrome 57(18.2%) and
mortality rate of 7.3%.There is association level of blood pressure with maternal outcomes. Conclusion: Rate of maternal
admission, complications and mortality is found to be high at JUSH ICU, Jimma University with other stakeholders has to
work in improving high quality of cares provided to reduce maternal complications and mortality.
