Knowledge, Perception and Management of Pre-eclampsia among Health Care Providers in a Maternity Hospital

Abstract

Background:Morbidity and mortality of women and children associated with pre-eclampsia present major global health problems in low and middle income countries. The prevalence of pre-eclampsia in Nigeria ranges from 2% to 16.7%, with approximately 37,000 women dying from preeclampsia annually. This study examines knowledge, perception and management of preeclampsia among healthcare providers in a major maternity hospital in Lagos, southwest Nigeria.Methods:In this descriptive cross-sectional study, 110 health care providers comprising of 75 Nurses, 9 Consultant Physicians, and 26 General Medical Practitioners with varying years of service were selected using purposive sampling technique. Data were collected using a self-administered 36-item semi-structured questionnaire. Data were analysed using the Statistical Package for Social Sciences to generate descriptive and inferential statistics with level of significance set at 0.05.Results:Health care providers in the study had an average knowledge of pre-eclampsia with a mean score of 16.69±3.53. There was generally a good perception of pre-eclampsia with a mean sore of 28.31±3.71. The most-prevalent clinical management practices were emergency cesarean section (16%), magnesium sulphate infusion (29%), and fluid/electrolyte management (9%). Knowledge of pre-eclampsia and years of practice were significantly associated (F=3.31; p= 0.023).Conclusion and Global Health Implications:Gaps in the knowledge of causes, diagnoses, and treatment of pre-eclampsia may be attributable to lack of refresher trainings and absence of written practice guidelines on pre-eclampsia management. Health care providers at this hospital may benefit from training courses that include current nationally and internationally-approved management of pre-eclampsia.

The Risk Factors toward Preeclampsia Events of Pregnant Women in Meureubo and Johan Pahlawan Community Health Center West Aceh

“…Poor knowledge that develops in society has the potential for preeclampsia. Gaps in knowledge about the causes, diagnosis, and treatment of preeclampsia may be due to a lack of refresher training and a lack of written practice guidelines on preeclampsia management [18]. There are maternal and clinical risk factors that contribute to the high risk of preeclampsia, such as genetic factors, diet, parity, gestational weight gain, maternal age, multiple pregnancies, and previous preeclampsia history.…”

Erythropoietin Mimetic Peptide (pHBSP) Corrects Endothelial Dysfunction in a Rat Model of Preeclampsia

“…According to various authors, preeclampsia develops with a frequency of 2% to 10% of all pregnancies [ 4 , 5 , 6 ]. In 0.03–0.055%, it passes into eclampsia [ 7 ]. Preeclampsia takes a leading place after bleeding in the structure of maternal and child morbidity and mortality in developed and developing countries [ 8 , 9 ].…”

“…Preeclampsia takes a leading place after bleeding in the structure of maternal and child morbidity and mortality in developed and developing countries [ 8 , 9 ]. In many developing countries, preeclampsia accounts for 40% of maternal deaths [ 7 ]. In developed countries, it accounts for about 16–18% of maternal mortality and up to 40% of fetal and newborn deaths [ 10 ].…”

Preclinical study of innovative peptides mimicking the tertiary structure of the α-helix B of erythropoietin

“…According to various authors, it affects from 2% to 10% of all pregnancies (Un Nisa et al 2019;Messerli et al 2019;Tomimatsu et al 2019). In 0.03-0.055%, it develops into eclampsia (Olaoye et al 2019). After bleeding, it is the next leading cause in the structure of maternal and child morbidity and mortality in developed and developing countries (Ponmozhi et al 2019, Lee et al 2019, and especially in low-income countries (Olaoye et al 2019).…”

“…In 0.03-0.055%, it develops into eclampsia (Olaoye et al 2019). After bleeding, it is the next leading cause in the structure of maternal and child morbidity and mortality in developed and developing countries (Ponmozhi et al 2019, Lee et al 2019, and especially in low-income countries (Olaoye et al 2019). In the Russian Federation, arterial hypertension complicates 5-30% of the total number of pregnancies.…”