Why magnesium sulfate ‘coverage’ only is not enough to reduce eclampsia: Lessons learned in a middle-income country

Verschueren, Kim J.C.; Paidin, Rubinah R.; Broekhuis, Annabel; Ramkhelawan, Olivier S.S.; Kodan, Lachmi R.; Kanhai, Humphrey H.H.; Browne, Joyce L.; Bloemenkamp, Kitty W. M.; Rijken, Marcus J.

doi:10.1016/j.preghy.2020.09.006

Cited by 4 publications

(1 citation statement)

References 32 publications

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“…Finally, group 10 (women with preterm, single cephalic pregnancy) was the second largest contributor to CS. Previous research in Suriname has highlighted the significant prevalence of hypertensive disorders of pregnancy and its profound effect on adverse perinatal outcomes, which could potentially affect the extent to which group 10 contributes to CS rates in the country [41,42]. Prevention, early detection, and adequate treatment of HDP could therefore potentially contribute to reducing preterm CS in Suriname [21].…”

Section: Adverse Neonatal Outcomesmentioning

confidence: 99%

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

Prüst,

Dupont,

Liesdek

et al. 2024

Preprint

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Background – Cesarean Section (CS) rates are increasing concerningly. Optimizing CS performance is a global health priority, given the maternal and perinatal morbidity and mortality associated with both underuse and overuse. This nationwide study in Suriname aims to (1) determine the national, facility-based CS rate and explore which women are at highest risk and (2) use the WHO Robson classification to enhance understanding drivers and outcomes of CS to develop tailored interventions. Methods – An observational, cross-sectional study in Suriname, using nationwide birth registry data that included all hospital births in 2020 and 2021. We used multivariate logistic regression analysis to assess maternal and perinatal characteristics associated with CS. We described caesarean births according to the Robson-10 classification and used descriptive statistics to analyze CS frequencies and neonatal outcomes. Results – We analyzed the 18,917 women who gave birth in Surinamese hospitals, with an overall 23.9% CS rate (n=4522). The highest CS rates were seen among women with a previous CS(69.3%, aOR 16.2, 95% CI 14.4 – 18.2), BMI > 40 (47.0%, aOR 5.1, 95% CI 4.0 – 6.5), newborn with a birth weight above 4000 grams (37.3%, 2.2, 95% CI 1.6 – 3.0) and women giving birth at hospital IV (38.5%, aOR 1.8, 95% CI 1.6 – 2.0). Hindustani women were more likely to give birth by CS compared to maroon women (aOR 1.6, 95% CI 1.4 – 2.0). Robson group 5 (i.e. multiparous, term women with a previous CS and cephalic presentation), contributed to 30.5% of the CS cases (n=1378). Robson group 2 and 4 (i.e. pre-labor CS, or CS after induction, among term women without previous CS and cephalic presentation) contributed to 21.8% (n=985) of all CS performed. Robson group 1 and 3 (i.e. during spontaneous labor CS among term women without previous CS and cephalic presentation) accounted for 23.3% (n=1052) of the CS cases. Conclusion – The CS rate in Suriname is 24%, with substantial intra-country and inter-hospital variations. These disparities underscore the need for targeted interventions addressing both overuse and underuse of CS. Preventative measures should prioritize promoting safe VBAC, preventing first-time CS and ongoing monitoring of trends and regular case audits.

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Section: Adverse Neonatal Outcomesmentioning

confidence: 99%

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

Prüst,

Dupont,

Liesdek

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

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The burden of severe hypertensive disorders of pregnancy on perinatal outcomes: a nationwide case-control study in Suriname

Prüst

Kodan

Akker

et al. 2021

AJOG Global Reports

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Simulation and objective structured clinical examination in learning to manage eclampsia in Morocco

Changuiti

Benfatah

Marfak

et al. 2023

British Journal of Midwifery

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Background/Aims Eclampsia is a major cause of maternal mortality worldwide. Simulation is an innovative pedagogical method to teach eclampsia management, while objective structured clinical examinations are effective in assessing midwifery students’ clinical skills. This study’s aim was to determine the impact of simulation and objective structured clinical examinations in teaching eclampsia management, and explore students’ satisfaction and self‑confidence. Methods This repeated measures study involved 31 second year midwifery students who participated in an objective structured clinical examination before and after a simulation on eclampsia management, and evaluated their experience using the National League for Nursing student satisfaction and self‑confidence learning scale. Results The mean post‑simulation score was significantly higher than pre‑simulation (P<0.001). The students showed significantly high levels of satisfaction. Conclusions Joining simulation and objective structured clinical examinations is effective in teaching and assessing student midwives on the management of eclampsia.

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Why magnesium sulfate ‘coverage’ only is not enough to reduce eclampsia: Lessons learned in a middle-income country

Cited by 4 publications

References 32 publications

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

The burden of severe hypertensive disorders of pregnancy on perinatal outcomes: a nationwide case-control study in Suriname

Simulation and objective structured clinical examination in learning to manage eclampsia in Morocco

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