Evolution of Signs of Preeclampsia after Delivery in Patients Managed at Centre Hospitalier Universitaire Yalgado Ouedraogo

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Résumé

Objective: The aim of this study was to evaluate the evolution of signs of
preeclampsia after delivery at the CHUYO. Patients and Method: The study
involved 146 women diagnosed with preeclampsia, using a descriptive prospective cohort design to collect data on their socio-demographic, clinical and
paraclinical status at different times after delivery. Results: The percentage of
patients with proteinuria greater than 0.15 g/24 hours was initially 96.7% on
the day of delivery, before dropping to 43.7% on the seventh day, 22.6% at 45
days, and finally 2.9% at three months after delivery. The proportion of patients
with diastolic blood pressure above 90 mmHg also fell, from 58.5% one week
after delivery to 7% three months later. As for creatinine levels, 6.2% of patients
had values above 90 µmol/L on D0, but only 2.9% still had this abnormality at
three months. With regard to diastolic blood pressure, 58.5% of patients had a
pressure greater than 90 mmHg one week after delivery, this figure being reduced to 7% three months later. Liver enzyme parameters, such as AST and ALT,
showed complete normalization in all patients three months after delivery. Conclusion: This study demonstrates the importance of ongoing follow-up for
women with preeclampsia to identify and manage persistent signs. Future research could explore the long-term effects of preeclampsia on the health of women and children.

Mots-clés

Signs Evolution, Preeclampsia, Burkina Faso