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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Maternal and fetal outcomes after introduction of magnesium sulphate for treatment of preeclampsia and eclampsia in selected secondary facilities: A low-cost intervention
Maternal and Child Health Journal, Volume 17, No. 7, Year 2013
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Description
The aim of this study was to evaluate whether a new low-cost strategy for the introduction of magnesium sulphate (MgSO4) for preeclampsia and eclampsia in low-resource areas will result in improved maternal and perinatal outcomes. Doctors and midwives from ten hospitals in Kano, Nigeria, were trained on the use of MgSO4. The trained health workers later conducted step-down trainings at their health facilities. MgSO4, treatment protocol, patella hammer, and calcium gluconate were then supplied to the hospitals. Data was collected through structured data forms. The data was analyzed using SPSS software. From February 2008 to January 2009, 1,045 patients with severe preeclampsia and eclampsia were treated. The case fatality rate for severe preeclampsia and eclampsia fell from 20.9 % (95 % CI 18.7-23.2) to 2.3 % (95 % CI 1.5-3.5). The perinatal mortality rate was 12.3 % as compared to 35.3 % in a center using diazepam. Introduction of MgSO4 in low-resource settings led to improved maternal and fetal outcomes in patients presenting with severe pre-eclampsia and eclampsia. Training of health workers on updated evidence-based interventions and providing an enabling environment for their practice are important components to the attainment of the Millenium Development Goals (MDG) in developing countries. © 2012 Springer Science+Business Media, LLC.
Authors & Co-Authors
Tukur, Jamilu
Nigeria, Kano
Bayero University
Ahonsi, Babatunde Aloysius
Nigeria, Abuja
Population Council
Mohammed Ishaku, Salisu
Nigeria, Abuja
Population Council
Araoyinbo, Idowu
Nigeria, Abuja
Population Council
Okereke, Ekechi
Nigeria, Abuja
Population Council
Babatunde, Ayodeji Oginni
Nigeria, Abuja
Population Council
Statistics
Citations: 35
Authors: 6
Affiliations: 2
Identifiers
Doi:
10.1007/s10995-012-1105-9
ISSN:
10927875
e-ISSN:
15736628
Research Areas
Maternal And Child Health
Study Design
Randomised Control Trial
Study Approach
Quantitative
Study Locations
Nigeria