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Implementing safe motherhood: A low-cost intervention to improve the management of eclampsia in a referral hospital in Malawi

Authors :
Drost, E.
van Lonkhuijzen, L. R. C. W.
Meguid, T.
Lewis, D. Landis
Zeeman, G. G.
Obstetrics and Gynaecology
Source :
BJOG: An International Journal of Obstetrics and Gynaecology, 117(12), 1553-1557. Wiley-Blackwell, BJOG-an International Journal Of Obstetrics And Gynaecology, 117(12), 1553-1557. Wiley
Publication Year :
2010

Abstract

We evaluated the effect of so-called monitoring and treatment charts on the management of eclampsia in a referral hospital in Malawi. Baseline characteristics, clinical management, as well as overall maternal and perinatal outcome were compared by reviewing the medical files of two groups, before and after introduction of the charts in 2006. The use of the charts has resulted in improved monitoring of women with eclampsia and may have contributed to the reduction in the planned prelabour caesarean section rate from 87% to 33%, as more women underwent induction of labour after stabilisation (P = 0.020). Overall maternal and perinatal outcomes were similar.

Details

Language :
English
ISSN :
14700328
Database :
OpenAIRE
Journal :
BJOG: An International Journal of Obstetrics and Gynaecology, 117(12), 1553-1557. Wiley-Blackwell, BJOG-an International Journal Of Obstetrics And Gynaecology, 117(12), 1553-1557. Wiley
Accession number :
edsair.dedup.wf.001..6b1b3b6a9346ce41ee1e060631c4f1bb