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Table 3 Test case findings about knowledge of providers in diagnosing and managing pre-eclampsia/eclampsia by facility and provider type

From: Assessment of facility readiness and provider preparedness for dealing with postpartum haemorrhage and pre-eclampsia/eclampsia in public and private health facilities of northern Karnataka, India: a cross-sectional study

Knowledge parameter assessed through the test case Total (475) CI [95% Conf. Interval] PHC (204) HF-PUBLIC (147) HF-PVT (124) P Value* Nurse/ANM (248) Doctors (138) Obstetricians (89) P Value**
Initial assessment for pre-eclampsia/eclampsia
Check blood pressure 94.9 92.6-96.7 96.1 92.5 96.0 0.269 92.7 97.8 96.6 0.066
Assess consciousness 6.1 4.1-8.7 3.4 8.2 8.1 0.107 3.6 6.5 12.4 0.012
Measure fetal heart rate 66.7 62.3-71 67.2 63.3 70.2 0.480 56.9 72.5 85.4 <0.001
Assess urine for protein 55.2 50.6-59.7 51.0 57.1 59.7 0.260 38.3 65.9 85.4 <0.001
Diagnosis and management of severe pre-eclampsia
Diagnose severe pre-eclampsia 78.5 74.6-82.1 78.4 83.0 73.4 0.159 67.7 85.5 97.8 <0.001
Administer magnesium sulphate 46.3 41.8-50.9 36.8 51.7 55.6 0.001 30.2 50.7 84.3 <0.001
Administer anti-hypertensive drugs if diastolic BP > 110 mm Hg 72.6 68.4-76.6 69.6 71.4 79.0 0.165 67.7 74.6 83.1 0.016
Immediately refer to higher facility 34.5 30.3-39 51.0 33.3 8.9 <0.001 39.9 42.8 6.7 <0.001
Diagnosis and management of eclampsia
Diagnose eclampsia 80.4 76.6-83.9 77.9 86.4 77.4 0.089 67.7 92.0 97.8 <0.001
Administer oxygen 24.2 20.4-28.3 16.2 33.3 26.6 0.001 14.9 29.0 42.7 <0.001
Administer magnesium sulphate 65.1 60.6-69.3 61.3 66 70.2 0.251 51.2 69.6 96.6 <0.001
Administer anti-hypertensive drugs if diastolic BP > 110 mm Hg 54.1 49.5-58.7 47.1 58.5 60.5 0.027 44.8 58.0 74.2 <0.001
Follow up after initial management of eclampsia
Administer repeat dose of magnesium sulphate if woman is still seizing 32.6 28.4-37.1 27.9 36.1 36.3 0.167 19.4 36.2 64.0 <0.001
Administer anti-hypertensive drugs if diastolic BP > 110 mm Hg 51.4 46.8-55.9 49.5 51.7 54.0 0.726 45.2 54.3 64.0 0.007
Induce labour 30.5 26.4-34.9 20.1 40.1 36.3 <0.001 21.8 25.4 62.9 <0.001
Maintain intake/output record 14.1 11.1-17.6 11.8 17.0 14.5 0.375 8.9 15.2 27.0 <0.001
Monitor magnesium sulphate toxicity 18.1 14.7-21.9 16.7 18.4 20.2 0.724 12.9 18.1 32.6 <0.001
  1. HF- Higher Facility; CHC - Community Health Centre; TH – Taluka (sub district) Hospital; DH – District Hospital; PVT - Private Hospital; ANM – Auxiliary Nurse Midwife.
  2. *Pearson’s chi-square test for independence between providers by facilities.
  3. **Pearson’s chi-square test for independence between providers by provider type.