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Publication Type
Journal Article
UWI Author(s)
Author, Analytic
Edson, W. ; Burkhalter, B. ; McCaw-Binns, A.
Author Affiliation, Ana.
n/a
Article Title
Timeliness of care for eclampsia and pre-eclampsia in Benin, Ecuador, and Jamaica
Medium Designator
n/a
Connective Phrase
n/a
Journal Title
Int J Gynaecol Obstet
Translated Title
n/a
Reprint Status
n/a
Date of Publication
2007
Volume ID
97
Issue ID
3
Page(s)
209-14
Language
eng
Connective Phrase
n/a
Location/URL
n/a
ISSN
0020-7292 (Print)
Notes
n/a
Abstract
OBJECTIVE: Cases meeting diagnostic criteria for severe pre-eclampsia or eclampsia were reviewed in three countries to determine timeliness and effectiveness of care. METHOD: Cases were retrospectively selected from 11 emergency obstetric care facilities and medical records reviewed by trained obstetricians. RESULT: Of 91 cases (Benin, 28; Ecuador, 25; Jamaica, 38), 74% were correctly treated with anticonvulsant and 77% with antihypertensive therapy. The median interval to treat eclampsia (anticonvulsant, 28 min; antihypertensive, 77 min) was shorter than for severe pre-eclampsia (anticonvulsant, 45 min; antihypertensive, 85 min). Two in three cases (65%) received anticonvulsant but only 41% received antihypertensive therapy within 60 min of diagnosis. While 74% of eclamptics had been delivered within 12 h, only 39% of severe pre-eclamptics were delivered within 24 h. CONCLUSION: Timeliness can be studied in developing countries. Its objective measurement is a first step towards improving this component of care.....
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