Evaluation of Maternal Complications in Severe Preeclampsia in a University Hospital in Tirana


  • Eriseida Ndoni University Hospital of Obstetrics and Gynecology “Koço Gliozheni”, Tirana
  • Redi Hoxhallari Italian Clinic “San Antonio”, Tirana
  • Astrit Bimbashi University Hospital of Obstetrics and Gynecology “Koço Gliozheni”, Tirana




severe preeclampsia, eclampsia, HELLP syndrome, stroke, pulmonary edema, maternal outcome


BACKGROUND: Preeclampsia is a hypertensive multisystem disorder of pregnancy that complicates up to 10% of pregnancies worldwide and is one of the leading causes of maternal and perinatal morbidity and mortality.

AIM: To evaluate maternal complications associated with severe preeclampsia.

METHODS: This is a retrospective cross-sectional study conducted in the UHOG “Koço Gliozheniâ€, in Tirana. Primary outcomes evaluated: maternal death, eclampsia, stroke, HELLP syndrome, and pulmonary edema. Secondary outcomes: renal failure, admission in ICU, caesarean section, placental abruption, and postpartum hemorrhage. Fisher’s exact test and Chi-squared test were used as statistical methods.

RESULTS: In women with severe preeclampsia we found higher rates of complications comparing to the group with preeclampsia. Eclampsia (1.5% vs. 7.1%, P < 0.001), HELLP syndrome (2.4% vs. 11.0%; P < 0.001), stroke (0.5% vs 1.9%, P = 0.105) pulmonary edema (0.25% vs. 1.3%, P = 0.0035), renal failure (0.9% vs. 2.6%, P = 0.107), admission in ICU (19.5% vs. 71.4%, P = 0.007), caesarean section rates (55.5% vs. 77%, P = 0.508), placental abruption (4.3% vs. 7.8%, P = 0.103) and severe postpartum hemorrhage (3.2% vs. 3.9%, P = 0.628).

CONCLUSION: Severe preeclampsia is associated with high rates of maternal severe morbidity and early diagnosis and timely intervention can prevent life treating complications.


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How to Cite

Ndoni E, Hoxhallari R, Bimbashi A. Evaluation of Maternal Complications in Severe Preeclampsia in a University Hospital in Tirana. Open Access Maced J Med Sci [Internet]. 2016 Feb. 24 [cited 2022 Aug. 15];4(1):102-6. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2016.025



B - Clinical Sciences