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

E. Drost, L. R. C. W. van Lonkhuijzen, T. Meguid*, D. Landis Lewis, G. G. Zeeman

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    5 Citations (Scopus)


    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.

    Original languageEnglish
    Pages (from-to)1553-1557
    Number of pages5
    JournalBJOG-an International Journal Of Obstetrics And Gynaecology
    Issue number12
    Publication statusPublished - Nov-2010


    • Millennium Development Goals
    • Obstetric emergency
    • Online training resources
    • Safe motherhood

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