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