Context: The place of caesarean section in the delivery of eclamptics has remained controversial, thereby creating the need for further studies. Objective: To evaluate the place of caesarean section in the delivery of eclamptics using the experience at the University of Nigeria Teaching Hospital, Enugu, Eastern Nigeria. Study Design, Setting and Subjects: Retrospective descriptive analysis of 44 ante- and intra-partum eclamptics treated at the University of Nigeria Teaching Hospital over a 4-year period. Main Outcome Measures: Caesarean section rate, maternal mortality ratio, maternal morbidity rates, perinatal mortality rate and perinatal morbidity rates. Results: A caesarean section rate of 91% was recorded due to superimposed ante- and intra-partum factors. The maternal and fetal outcomes were better in those who had caesarean section than in those who delivered vaginally. Conclusion: The results suggest the need for a more liberal and early use of caesarean section in Nigerian eclamptics. (Tropical Journal of Obstetrics and Gynaecology, 2001, 18(1): 34-37)
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Onah et al. (2001) studied this question.