Criteria-based audit on management of eclampsia patients at a tertiary hospital in Dar es Salaam, Tanzania

Table 4 Adherence to audit standards on the management of women diagnosed with eclampsia at MNH.

Audit criteria	Eclampsia
	Antepartum (n = 184)		Intrapartum (n = 159)		Postpartum (n = 46)
	n	%	n	%	n	%
Detailed history and documentation	174	95	151	95	46	100
Management plan by senior personnel.	132	72	102	64	7	72
Use of MgSO₄.	184	100	159	100	46	100
Treatment of severe hypertension	105	57	110	69	30	65
Management plans review within 2 hours of admission by a specialist obstetrician	47	25	41	26	11	24
Blood pressure measurement at least every half an hour	176	96	142	90	38	83
Urine analysis for proteinuria within 2 hours of arrival	120	65	90	57	26	56
Fluid balance chart should be maintained for 48 hours,	182	99	157	99	46	100
Deep tendon reflexes test to all patients treated with MgSO₄	0	0	2	1.3	0	0
Respiration rate monitored for 24 hours in all patients treated with magnesium sulphate	184	100	159	100	46	100
Use of corticosteroids for lung maturation	*2/77	2.6	*1/51	2	-	-
Caesarean section) within 2 hours of decision	*10/37	27	*14/39	36	-	-
Delivery should be within 24 hours	127	77	117	91	-	-
Full blood count to all admitted patient	52	29	43	27	13	28
Serum Urea and creatinine to all admitted patient	70	38	60	38	17	37
Liver function test (liver enzymes) to all admitted patient	7	3.8	3	1.9	4	9
Proper use of the parthogram and monitoring	*166/181	92	*93/136	68	-	-
Prompt and early referral	177	96	137	86	38	83

(*cases less than total n, for example women with premature labour, cases admitted before delivery, cases delivered by CS and SVD).