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.
TABLE OF CONTENT
Title Page i
Flying page ii
Declaration iii
Certification iv
Dedication v
Acknowledgement vi
Table of Contents vii
List of Tables x
List of Figures xi
List of Abbreviations xii
Operational Definition xiii
Abstract xiv
1.0 Introduction
1 1.1 Statement of problem 6
1.2 Significance of the study 7
1.3 Aim and objectives of the study 8
1.3.1 Aim 8 1.3.2 Objectives 8
1.4 Research Questions 8
1.5 Scope of the Study 9
2.0 Review of Related Literatures 10
2.1 Concept of Pre-eclampsia and Eclampsia 10
2.1.1 Definitions 10
3.0 MATERIAL AND METHODS
3.0 Methodology 41
3. 1 Study Design 41
3.2 Study Setting 41
3.3 Study Population 42
3.3.1 Inclusion Criteria 43
3.3 2 Exclusion Criteria 43
3.4 Sample Size Determination 43
3.5 Validation of Instrument 44
3.6 Data Collection Instruments 45
3.7 Process of Data Collection 45
3.8 Data Analysis 46
3.9 Ethical Consideration 46
4.0 RESULTS 48
5.0 DISCUSSION 75
6.0 CONCLUSIONS AND RECOMMENDATIONS 81
REFERENCES 84
INTRODUCTION
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).
REFERENCE
Agida, E.T., Adeka, B.I. & Jibril, K.A.,, (2018). “Pregnancy outcome in eclamptics at the University of Abuja Teaching Hospital, Gwagwalada, Abuja: A 3 year review.” Nigerian Journal of Clinical Practice, vol. 13, no. 4, 2010, p. 394. Academic OneFile, Accessed; 21/07/2018.
Ahmed, S., Helmy, H., & Mohamed, A. (2017). Impact of a Tailored Intensive Educational Program upon Preeclampsia on Nurses‟ Knowledge at Beni-Suef City, Egypt. International Journal of Nursing Science 2017, 7(4): 79-83 DOI: 10.5923/j.nursing.20170704.01. Retrieved: 07/04/2018.
Ajah, L., Ozonu, N.,Ezeonu, P.,Lawani, L.,Obuna, J.,& Onwe, E. (2016). The Feto-Maternal Outcome of Preeclampsia with Severe Features and Eclampsia in Abakaliki, South-East Nigeria. A Journal of Clinical and Diagnostic Research ISSN -0973-709X.doi: 10.7860/JCDR/2016/21078.8499. Accessed; 12/03/2017
Akeju, D.,Vidler, M.,Oladapo, O.,Sawchuck, D.,Qureshi, R.,Dadelszen, P.,… Dada, O. (2016). Community perceptions of pre-eclampsia and eclampsia in Ogun State, Nigeria: a qualitative studyand the CLIP Nigeria Feasibility Working. doi: 10.1186/s12978-016-0134-z. Retrievced on; 02/10/2016.
Al-Jameil, N., Aziz Khan, F., Fareed Khan, M.,&Tabassum, H. (2014). “A brief overview of preeclampsia.”. Journal of clinical medicine research. 6 (1): 1–7. doi:10.4021/jocmr1682w.PMID 24400024. Retrieved: 24/09/2016.
American College of Obstetricians and Gynecologists. (2014). “Preeclampsia and Hypertension in Pregnancy”: Resource Overview. Available on; http://www.acog.org/Womens-Health/Preeclampsia-and-Hypertension-in-Pregnancy?IsMobileSet=false. Retrieved: 02/10/2016.
