Perceptions and expectations among pregnant women receiving second-trimester ultrasound scans at Jordan University Hospita

To evaluate women's information about the purpose of the second-trimester ultrasound scan, their expectations before the scan, the extent to which these expectations are fulfilled after the scan, and their perceptions of the foetus. A sample of pregnant women [540] attending a second-trimester ultrasound scan at Jordan University Hospital were asked to complete two parts of a questionnaire during a 3-month period in 2011. The first part included patients' characteristics, the purpose of the scan, and expectations before the scan. The second part included patients' perceptions of the foetus and how the expectations of the scan were fulfilled. Both parts of the questionnaires were completed by 503 [93%] of the women. Three fourths of the participants were accompanied by their husband or a family member. Sixty [12%] women were referred specifically to rule out congenital anomalies. Comparison between patients' expectations before and after the scan using the chi-square test showed significant improvement in all expectations variables [P-value< 0.001]. A routine second-trimester ultrasound scan is an important event for most participating women. Improvements are required in the provision of pre-ultrasound information

Eclampsia: epidemiologic observations

Analysis of the epidemiologic variables of 35 eclampsia cases treated at Jordan University Hospital over a ten year period was carried out. The incidence of eclampsia was 0.21% of all deliveries. All patients were in the low income group. The incidence was higher amongst nulliparous [0.4%] than multiparous patients [0.14%]. 91.4% of patients had no antenatal care. Convulsions occured ante-partum in 24 patients [68.6%], intrapartum in 5 patients [14.3%], and postpartum in 6 patients [17.1%]. The number of seizures ranged between 1-9. Headache, visual disturbances, and epigastric pain were the most frequent symptoms preceding convulsions. 20 patients [57.1%] had a vaginal delivery and 15 patients [42.9%] were delivered by caesarean section. There were three maternal deaths [8.6%]. The total perinatal death rate was 28.6%. This study showed the need for better antenatal care, public health education and the establishment of referral centers with intensive care and experience to deal with such cases