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Table 3 Skilled birth attendant (SBA) knowledge on early detection and management of pre-eclampsia/eclampsia (PE/E)

From: Quality of care in early detection and management of pre-eclampsia/eclampsia in health facilities in Afghanistan

SBA demonstrating knowledge of PE/E early detection and management number (%) Facility type
SHa, RHb, PHc (n = 333) High Volume DHd (5 or more deliveries per day) (n = 228) Low Volume DHd and CHCe (0–4 deliveries per day (n = 69) BHCf, SHCg, FHHh (n = 104) p-value All public sector n = 734) Private hospitals (n = 64)
Know essential actions to take in management of severe pre-eclampsia at term
 Administer magnesium sulfate 272 (81.7%) 176 (77.2%) 66 (95.7%) 92 (88.5%) < 0.001 606 (82.6%) 56 (87.5%)
 Administer antihypertensives 205 (61.6%) 132 (57.9%) 33 (47.8%) 47 (45.2%) < 0.001 417 (56.8%) 34 (53.1%)
 Prepare to deliver within 24 h 167 (50.2%) 106 (46.5%) 14 (20.3%) 31 (29.8%) < 0.001 318 (43.3%) 27 (42.2%)
 Incorrectly responded and listed administering diazepam as appropriate management of severe pre-eclampsia at term 99 (29.7%) 63 (27.6%) 44 (63.8%) 56 (53.9%) < 0.001 262 (35.7%) 25 (39.1%)
Know to check maternal blood pressure during postnatal care 241 (72.4%) 170 (74.6%) 61 (88.4%) 90 (86.5%) < 0.001 562 (76.6%) 52 (81.3%)
Know correct diagnosis of severe pre-eclampsia from a case description 224 (67.3%) 158 (69.3%) 60 (87.0%) 91 (87.5%) 0.001 553 (72.6%) 54 (84.4%)
Know the following procedures that are carried out routinely for all patients during labor and delivery
 Know to monitor maternal blood pressure 258 (77.5%) 170 (74.6%) 66 (95.7%) 92 (88.5%) < 0.001 586 (79.8%) 56 (87.5%)
 Know to monitor intermittent fetal heart rate (approx. every hour or more often) 236 (70.9%) 170 (74.6%) 65 (94.2%) 90 (86.5%) < 0.001 561 (76.4%) 52 (81.3%)
  1. aSpecialty Hospital; bRegional Hospital; cProvincial Hospital; dDistrict Hospital; eComprehensive Health Center; fBasic Health Center; gSub-Health Center; hFamily Health House;