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Pre Eclapsia And Eclampsiapregnancy Essay

1116 words - 5 pages

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Controlling Pre-eclampsia and Eclampsia in Pregnancy
Carlotta Meusa
Grand Canyon University
Introduction to Nursing Research
Dr. M. Terese Verklan
February 23rd, 2014

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Controlling Pre-eclampsia and Eclampsia in Pregnancy
Pre-eclampsia also known as toxemia is hypertension associated with protein in the urine and is prevalent in 7 out of 100 pregnant women. Severe form of pre-eclampsia sometimes develop resulting in seizures or convulsions; this is known as eclampsia.
The blood vessels constrict during pre-eclampsia thus reducing the amount of oxygen and nutrients delivered to the fetus and can lead to low birth weight. If it is untreated, it may result in liver, lungs, ...view middle of the document...

Upgrading of clinical administration using locally accessible reserves for the management of pre-eclampsia and eclampsia have been proven to reduce perinatal and maternal illness and fatality.

Method
The Muhimbili National Hospital serves as a referral center for the city of Dar es Salaam and the bordering coastal area. The hospital has a yearly delivery average of about 10,000 (approximately 30 daily), with about 80% being low-risk deliveries. Every month a perinatal mortality meeting is conducted with all members of the obstetrics department including nurses from the neonatal ward. Discussions are usually focused on the perinatal mortality trend as well as selected perinatal mortality cases. The work day is divided into three shifts in the labor ward, with six midwives serving in each shift. One specialist obstetrician, one consultant obstetrician and two residents (house officers) are on call every day. There is an in hospital observation period of 6–10 hours for babies and mothers who have had a normal vaginal birth and babies are administered BCG and polio vaccinations before and then discharged. Babies delivered by caesarean section (CS) or those with low Apgar score (less than7) are admitted to the neonatal ward. Socio-demographic data were collected as documented in case notes. Case files were reviewed and records compared against the standards, comprehensive information like antenatal care, events during antepartum and intrapartum period as well as pregnancy outcome was
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Controlling Pre-eclampsia and Eclampsia in Pregnancy

acquired by the leading researcher from case notes and summary. Information based on gestational age at delivery, number of eclamptic seizures, blood pressure on admission,
roteinuria at the antenatal clinic and on admission, gestational age at diagnosis of eclampsia, use of antihypertensive drugs, delivery complications, mode of delivery, Apgar score, birth weight, time interval between admission and delivery, and perinatal and maternal morbidity and mortality was collected. Cause of perinatal death was selected from the case notes as recorded by the doctor who certified the death. A post-mortem examination was not performed. All admitted cases were checked against the admission record to ensure all cases were included.

Study Results
In all 389 cases of eclampsia in the initial audit (2006) and 88 cases in the re-audit (2009) were analyzed. Significant improvements in many of the set criteria for quality care of eclampsia were seen in the re-audit as compared to the initial audit. Specialist review within 2 hours...

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