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

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

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