Scale‐up of magnesium sulfate for treatment of pre‐eclampsia and eclampsia in Nigeria

Danmusa, Sada; Coeytaux, Francine; Potts, Jerald F.; Wells, Elisa

doi:10.1016/j.ijgo.2016.06.001

Cited by 9 publications

(53 citation statements)

References 10 publications

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“…Studies of PE/E case management in Nigeria and Pakistan identified similar gaps in quality of care. In Nigeria, use of MgSO4 was inconsistent in relation to standards [23]. In Pakistan, the majority of hospitals used MgSO4 as the preferred anticonvulsant to manage eclampsia, but there were large variations in dosages and in most cases doses were not in line with international guidelines [24].…”

Section: Discussionmentioning

confidence: 99%

Quality of care in early detection and management of pre-eclampsia/eclampsia in health facilities in Afghanistan

Ansari

Manalai²,

Maruf³

et al. 2019

BMC Pregnancy Childbirth

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BackgroundAfghanistan faces a high burden of maternal and neonatal morbidity and mortality. Hypertensive disorders of pregnancy, including pre-eclampsia and eclampsia (PE/E), are among the most common causes of maternal and neonatal complications. Hypertensive disorders of pregnancy can lead to fatal complications for both the mother and fetus. The 2016 Afghanistan National Maternal and Newborn Health Quality of Care Assessment assessed quality of early detection and management of PE/E in health facilities and skilled birth attendants’ (SBAs) perceptions of their working environment.MethodsAll accessible public health facilities with an average of at least five births per day (n = 77), a nationally representative sample of public health facilities with less than five births per day (n = 149), and 20 purposively selected private health facilities were assessed. Methods included a facility inventory and record review, interviews with SBAs, and direct clinical observation of antenatal care (ANC), intrapartum care and immediate postnatal care (PNC), as well as severe PE/E case management.ResultsMost facilities had supplies and medicines for early detection and management of PE/E.At public health facilities, 357 of 414 (86.2%) clients observed during ANC consultations had their blood pressure checked and 159 (38.4%) were asked if they had experienced symptoms of PE/E. Only 553 of 734 (72.6%) SBAs interviewed were able to correctly identify severe pre-eclampsia described in a case scenario. Of 29 PE/E cases observed, 17 women (59%) received the correct loading dose of magnesium sulfate (MgSO4) and 12 women (41%) received the correct maintenance dose of MgSO4.At private health facilities, 39 of 45 ANC clients had their blood pressure checked and 9 of 45 (20%) were asked about symptoms of PE/E. Fifty-four of 64(84.4%) SBAs in private facilities correctly identified severe pre-eclampsia described in a case scenario.ConclusionNotable gaps in SBAs’ knowledge and clinical practices in detection and management of PE/E in various health facilities increase the risk of maternal and perinatal mortality. Continuing education of health care providers and increased investment in focused quality improvement initiatives will be critical to improve the quality of health care services in Afghanistan.

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Section: Discussionmentioning

confidence: 99%

Quality of care in early detection and management of pre-eclampsia/eclampsia in health facilities in Afghanistan

Ansari

Manalai²,

Maruf³

et al. 2019

BMC Pregnancy Childbirth

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show abstract

“…In recent years, global efforts to reduce eclampsia-related deaths have focused on task shifting, or enabling frontline health workers to identify women with PE/SPE/E and initiate management of the disorder 8 , 9 . Calcium supplementation is recommended for preventing preeclampsia when dietary intake of calcium is low, while antihypertensive drugs may be necessary for women with PE.…”

Section: Introductionmentioning

confidence: 99%

Management of Preeclampsia, Severe Preeclampsia, and Eclampsia at Primary Care Facilities in Bangladesh

Williams

Khan²,

Moniruzzaman

et al. 2019

Glob Health Sci Pract

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“…At baseline, no provider proactively checked for pre-eclampsia. Although progress was marginal, given HDP prevalence in Nigeria the impacts of this study's progress, if scaled nationally, would be large, as PHC providers trained now have the capacity to detect and manage pre-eclampsia and administer loading doses of MgSO4 in appropriate cases (Danmusa, Coeytaux, Potts, Wells 2016, Khandekar, Patil, Pawar, Rajgure, Suryavanshi 2011, Oguntunde et al 2015).…”

Section: Discussionmentioning

confidence: 98%

Post-intervention analysis of pre-eclampsia and eclampsia in three Nigerian states

Ishaku¹,

Nwala²,

Adoyi³

et al. 2019

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This evaluation's results also show that empowered pregnant women request quality maternal health services (during antenatal visits) and ask questions about their health and those of their unborn infants. Trained personnel with essential commodities and tools will not result in significant progress if pregnant women do not register themselves early in the first trimester for antenatal care, when pre-eclampsia is amenable to preventive measures such as prophylaxis aspirin.

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Scale‐up of magnesium sulfate for treatment of pre‐eclampsia and eclampsia in Nigeria

Cited by 9 publications

References 10 publications

Quality of care in early detection and management of pre-eclampsia/eclampsia in health facilities in Afghanistan

Quality of care in early detection and management of pre-eclampsia/eclampsia in health facilities in Afghanistan

Management of Preeclampsia, Severe Preeclampsia, and Eclampsia at Primary Care Facilities in Bangladesh

Post-intervention analysis of pre-eclampsia and eclampsia in three Nigerian states

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