OBJECTIVE: To specify clinical and biological characteristics of @entity1 developing @entity3036 , and identify @entity3036 without prior signs and symptoms of severe @entity1468 . @entity1 AND METHODS: This was a retrospective observational study conducted from January 1996 to December 2008 in a maternity type IIB in French Guiana. Data of @entity1 who experienced @entity3036 were collected from obstetric records. RESULTS: Sixty-nine @entity1 were selected among 21,525 @entity1 who delivered during this period, corresponding to a prevalence of 3.2    . The average @entity1 age was 21 years (range from 12 to 45 years). Sixty-six percent of @entity1 were nulliparous. The gestational age was greater than 37 weeks of gestation for 62% of @entity1 , between 26 and 37 weeks of gestation for 36% and less than 26 weeks of gestation for 2% of @entity1 . Two thirds of the @entity1 had been examined less than a month before the eclamptic @entity410 , blood pressure was normal in 62% of cases. Seventy-four percent of @entity1 had at least one Doppler study of the uterine and umbilical arteries velocimetry, the Dopplers studies were normal in 78% of cases. The @entity3036 occurred in ante-, peri- and post-partum in 59, 6 and 35% of the cases, respectively 10% of @entity1 were hospitalized for @entity1468 at the time of eclamptic @entity410 . Less than 10% of @entity1 developed @entity2102 . One @entity1 had died of @entity1174 . Newborns had a mean birth weight over 2500 g in 88% of cases. During the follow-up period, 41% of the @entity1 had subsequent pregnancies with 62% without @entity101 , 24% complicated by recurrent gestational @entity101 , 24% by @entity1468 and 4% by @entity3036 . DISCUSSION AND CONCLUSION: In a majority of the @entity1 in our study, @entity3036 was the main manifestation, and only 10% were preceded by severe @entity1468 . These results are comparable to recent studies, which found in their series that 40 to 60% of @entity3036 manifested without preeclamptic prodromi. @entity3036 can occur after an unremarkable pregnancy, in @entity1 without risk factors, and then it is hardly predictable. Prenatal follow-up must be very cautious paying attention to any markers such as intermittent @entity101 , functional symptoms or appearance of @entity644 .

[Sixty-nine consecutive cases of XXXX : prodromes and circumstances].

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'PATIENTS'] @entity644 :: ('MESH:D011507', 'Disease') :: ['proteinuria'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity2102 :: ('MESH:D017359', 'Disease') :: ['HELLP syndrome'] @entity1174 :: ('MESH:D011015', 'Disease') :: ['aspiration pneumonia'] @entity3036 :: ('MESH:D004461', 'Disease') :: ['eclampsia', 'Eclampsia', 'atypical eclampsia'] @entity1468 :: ('MESH:D011225', 'Disease') :: ['preeclampsia']
@entity3036 :: (MESH:D004461,Disease) :: ['eclampsia']
