Table 1 Case notes review—maternal data

Total number of women

n = 69

n = 15

n = 98

n = 44

Maternal characteristics

 Mean (SD) age (years)

26.5 (7.0)

24.5 (3.2)

25.8 (5.9)

24.4. (4.2)

 Primiparous

28 (40.5)

10 (66.7)

57 (58.2)

31 (70.5)

 Singleton pregnancy

64 (92.8)

14 (93.3)

94 (95.9)

44 (100)

 Ultrasound scan during pregnancy

44 (63.8)

8 (53.3)*

63 (64.3)

33 (75.0)*

At pre-eclampsia diagnosis

 SBP ≥ 140 or DBP ≥ 90 mmHg

68 (98.6)

11 (73.3)*

93 (94.9)

30 (68.2)*

 ≥ 1 + protein on urine dipstick

62 (89.9)

8 (53.3)

83 (84.7)

21 (47.7)

 Quantitative assessment of proteinuria

0

0

0

0

 Creatinine tested

18 (26.1)

15 (100)

23 (23.5)

42 (95.5)

 Liver enzymes tested

24 (34.8)

15 (100)

24 (24.5)

42 (95.5)

 Platelets tested

49 (71.0)

15 (100)

60 (61.2)

41 (93.2)

Pre-eclampsia management

 Given antihypertensives

61 (88.4)

15 (100)

88 (89.8)

35 (79.5)

 > 1 antihypertensive agent

56 (81.6)

8 (53.3)

70 (71.4)

14 (31.8)

 Received antenatal corticosteroids

42 (60.9)

4 (26.7)

9 (9.2)

1 (2.3)

 Received magnesium sulfate

47 (68.1)

12 (80.0)

61 (62.2)

19 (43.2)

 Admitted antenatally

66 (95.7)

15 (100)

90 (91.8)

44 (100)

Onset of labour:

 Spontaneous

22 (31.9)

3 (20.0)

43 (43.9)

24 (54.5)

 Induced

25 (34.8)

4 (26.7)

28 (28.6)

5 (11.4)

 Pre-labour caesarean section

22 (31.9)

8 (53.3)

27 (27.6)

15 (34.1)

 Not documented

0

0

0

0

Composite of severe maternal mortality and morbidity (N women)

12 (17.4)

6 (40.0)

17 (17.3)

9 (20.5)

Individual components (non-exclusive events):

 Death

0

0

0

0

 Stroke

0

0

0

0

 Eclampsia

9 (13.0)

3 (20.0)

9 (9.2)

5 (11.4)

 Hysterectomy

0

0

0

0

 Placental abruption

0

3 (20.0)

1 (1.0)

0

 Pulmonary oedema

0

0

0

0

 Blood transfusion

3 (4.3)

2 (13.3)

7 (7.1)

4 (9.1)

Severe hypertension

60 (87.0)

13 (86.7)

68 (69.4)

31 (70.5)

Other maternal complications:

7 (10.1)

4 (26.7)

6 (6.1)

4 (9.1)

Documented primary indication for delivery by clinician (N = induced plus pre-labour CS)

n = 47

n = 12

n = 55

n = 20

 Severe pre-eclampsia

34 (72.3)

9 (75.0)

40 (72.7)

15 (75.0)

 Eclampsia

6 (12.8)

3 (25.0)

6 (10.9)

5 (25.0)

 Other

6 (12.8)

0

9 (16.4)

0

Hospital length of stay

n = 69

n = 15

n = 98

n = 44

 Median (IQR) pre-delivery length of stay (days)

1 (1–3)

1 (1–1)

1 (1–2)

1 (1–1)

 Median (IQR) postnatal length of stay (days)

3 (2–5)

8 (7–11)

3 (2–4)

7 (5–9)