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Assessment of Eclampsia Management Among Nurses and Midwives in Secondary Health Care Facilities

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– Assessment of Eclampsia Management Among Nurses and Midwives in Secondary Health Care Facilities –

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Abstract

Pre-eclampsia and eclampsia is one of the problems affecting women during pregnancy, labour and pueperium and is among the leading factors that causes maternal and perinatal mortality and morbidity in Bauchi state.

The study aimed at assessment of pre-eclampsia and eclampsia management among nurses and midwives in secondary health care facilities in Bauchi state. It was observed that women with pre-eclampsia and eclampsia develop life threatening complications.

These include; acute renal failure, Hemolysis Elevated Liver Enzymes and Low Platelets Count Syndrome, Respiratory distress syndrome and Abruptio placentae.

Fetal complication includes; birth asphyxia, preterm birth, intrauterine growth restriction and intrauterine fetal demise among others.

The objectives of the study were; to determine the level of knowledge in management of pre-eclampsia and eclampsia among nurses and midwives, to assess nurses and midwives‟ skills in management of pre-eclampsia and eclampsia patient and to assess the availability of resources for management of pre-eclampsia and eclampsia among others.

Introduction

1.1 Background of the Study

Many factors or medical conditions may influence the outcome of pregnancy, which in turn, may increase perinatal and maternal morbidity and mortality.

One such condition is pre-eclampsia and eclampsia, which is characterized by an increase in blood pressure (BP), seizure, severe headache and edema (Marshall & Raynor, 2016).

Pre-eclampsia is a pregnancy-specific disorder characterized by hypertension, significant proteinuria, with or without edema (Kooffreh, Ekott&Ekpoudom, 2014). Pre-eclampsia is the most common complication that occurs during pregnancy.

It generally develops during the second trimester and affects about 1 in 20 pregnancies (Nordqvist & Liberto, 2017). It is multifactorial and forms an integral part of the continuum of hypertensive disorders of pregnancy.

The end stage of pre-eclampsia is eclampsia (Kooffreh,et al.,2014). Pre-eclampsia is a disorder associated with high blood pressure and proteinuria during pregnancy (Bigdeli, Zafar, Assad & Ghaffar, 2013).

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