TY - JOUR
T1 - Implementing safe motherhood
T2 - a low-cost intervention to improve the management of eclampsia in a referral hospital in Malawi
AU - Drost, E.
AU - van Lonkhuijzen, L. R. C. W.
AU - Meguid, T.
AU - Lewis, D. Landis
AU - Zeeman, G. G.
PY - 2010/11
Y1 - 2010/11
N2 - 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.
AB - 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.
KW - Millennium Development Goals
KW - Obstetric emergency
KW - Online training resources
KW - Safe motherhood
U2 - 10.1111/j.1471-0528.2010.02691.x
DO - 10.1111/j.1471-0528.2010.02691.x
M3 - Article
SN - 1470-0328
VL - 117
SP - 1553
EP - 1557
JO - BJOG-an International Journal Of Obstetrics And Gynaecology
JF - BJOG-an International Journal Of Obstetrics And Gynaecology
IS - 12
ER -