MoCA assessment
MoCA scores were lower in women with eclampsia and pulmonary oedema (21.6, 95% CI 20.4 to 22.7, p<0.001 and 21.3, 95% CI 19.7 to 23.0, p<0.01 respectively) when compared to normotensive women (25.8, 95% CI 24.1 to 27.4). When adjusted for confounders, results remained similar for women with eclampsia (21.7, 95% CI 20.5 to 22.9vs 25.6, 95% CI 23.7 to 27.4, p<0.05) (Table 2). For women with pulmonary oedema, the results were attenuated after adjustments for confounders (21.8, 95% CI 20.0 to 23.5 vs 25.6, 95% CI 23.7 to 27.4, p=0.09). In women with eclampsia and women with pulmonary oedema, more than 75% had a score less than 26 (40/61 (76%) for pulmonary oedema and 21/28 (81%) for eclampsia). In women with pre-eclampsia without severe features, 8/45 (18%) had a score less than 26 and in the normotensive group, 3/26 (12%) had a score less than 26. For the subdomains of the MoCA assessment, there was an overall difference in attention, language, abstraction, delayed recall and orientation but no difference in naming or visuospatial ability (Table 4).
DISCUSSION