Knowledge on Prevention and Management of Preeclampsia and Eclampsia among Nurses in Primary Health Settings: Baseline Findings from an Interventional Study in Dodoma Region, Tanzania.

Joho A Angelina,Stephen M Kibusi,Ipyana Mwampagatwa,Alex Ernest

doi:10.24248/eahrj.v4i1.619

Joho A Angelina, Stephen M Kibusi + Show 2 more

Open Access

https://doi.org/10.24248/eahrj.v4i1.619

Copy DOI

Abstract

Background:Preeclampsia and eclampsia are conditions which increase maternal and foetal morbidity and mortality worldwide. These conditions are ranked as the second leading cause of maternal deaths. Nurses have a critical role in preventing and managing preeclampsia. However, their knowledge has not been evaluated particularly among those working in primary health facilities, where opportunities for continue education is limited.Objective:To assess knowledge on prevention and management of preeclampsia and eclampsia among nurses working in the primary health care settings.Methods:Analysis of baseline data from an intervention study which test the effectiveness of simulation-based training on obstetric and neonatal emergencies among nurses in managing maternal and newborn emergencies in primary health care settings. A total of 39 primary health centres within 7 districts in Dodoma Region were selected to take part in the interventional study. Individual participants were nurses working in maternity units were involved. 172 nurses were selected using a simple random method. Nurses' knowledge on prevention and management of PEE and its predictors were assessed using a self-administered questionnaire. Descriptive statistics analysis was done to determine the distribution of the background characteristics of nurses and logistic regression analysis was performed to explore predictors of nurses' knowledgeResults:Overall knowledge on preeclampsia and eclampsia was 88 (51.2%). Professional qualification was a predictor associated with a nurse's knowledge about preeclampsia and eclampsia. Registered nurses were more knowledgeable compared to enrolled nurses (AOR3.311; CI, 1.62 to 6.768; P value =.001), years of working experience showed no association with knowledge on preeclampsia and eclampsia (AOR 0.98; CI: 0.39-2.47; P values = 0.970)Conclusion:This study showed there is a critical knowledge deficiency in the prevention and management of preeclampsia and eclampsia among nurses working in maternal units of primary health care setting. Effective regular training on prevention and management of preeclampsia and eclampsia for frontline nurses is required in order to improve maternal and neonatal survival.

Highlights

Worldwide, maternal and neonatal deaths are still a challenge and it is estimated to be 211 maternal mortality rates per 100,000 livebirths as of 2017
The neonatal mortality is still high and estimated to be 27.2 per 1000 live birth as of 2017, this is a reduction of 40.7% from 2000.2 In Tanzania, there is no significant change in maternal and neo natal deaths, it is estimated that maternal mortality rate (MMR), has reduced from 854 as of 2000 to 524 deaths per 100,000 livebirths in 20171
The Tanzania Demographic and Health Survey (TDHS) 2015-16 reported that sixteen percent of maternal deaths were due to hypertensive disorders, including eclampsia[5]

Summary

Introduction

Maternal and neonatal deaths are still a challenge and it is estimated to be 211 maternal mortality rates per 100,000 livebirths as of 2017. This represents a decrease of 38% from 20001. Preeclampsia and eclampsia are conditions which increase maternal and foetal morbidity and mortality worldwide These conditions are ranked as the second leading cause of maternal deaths. Objective: To assess knowledge on prevention and management of preeclampsia and eclampsia among nurses working in the primary health care settings. Effective regular training on prevention and management of preeclampsia and eclampsia for frontline nurses is required in order to improve maternal and neonatal survival

Objectives

Methods

Results

Discussion

Conclusion