Magnitude and determinants of adverse perinatal outcomes of pregnancies complicated with preeclampsia and eclampsia at a teaching hospital in the Tigray region of Ethiopia

The overall prevalence of adverse perinatal outcomes was consistent with countrywide findings and studies done elsewhere in low-resource settings. Early-onset preeclampsia, severe features, multifetal gestation, and primigravidity negatively affected perinatal outcomes. Thus, clinical profiles such as gravidity, gestational age at diagnosis, multifetal gestation, and severity features should be considered in clinical decision-making in low-resource settings. Perinatal outcomes may be improved through optimizing antepartum, intrapartum, and postpartum context- and gestational age-specific interventions, and adhering to established protocols with proven perinatal benefits such as administration of steroids, neuroprotection, and neonatal surfactant use.