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Table 4 Early detection of pre-eclampsia/eclampsia (PE/E) during antenatal care (ANC), childbirth and postnatal care (PNC) observed on assessment day

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

Cases with key PE/E practices observed number # (%) Facility type
Antenatal care Childbirth Childbirth
Public Private Public Private Public Private
Blood pressure measurement 357/414 (86.2%) 39/45 (86.7%) 320/507 (63.1%) 27/31 (87.1%) 290/402 (72.1%) 23/30 (76.7%)
Fetal heart rate check (at least once) 299/507 (59.0%) 25/31 (80.7%) N/A N/A
Assessment for danger signs
 Severe headache/blurred vision 159/414 (38.4%) 9/45 (20.0%) 59/436 (13.5%) 7/24 (29.2%) 124/402 (30.8%) 5/30 (16.7%)
 Convulsion/loss consciousness 87/414 (21.0%) 1/45 (2.2) 24/436 (5.5%) 1/24 (4.2%) 80/402 (19.9%) 5/30 (16.7%)
 Difficulty in breathing 117/414 (28.3%) 2/ 45 (4.4%) 43/436 (9.9%) 0/24 (0.0%) 72/402 (17.9%) 3/30 (10.0%)
Counseling on PE/E danger signs and care seeking
 Convulsions or loss of consciousness 108/414 (26.1%) 3/45 (6.7%) 115/402 (28.6) 6/30 (20%)
 Severe headache with blurred vision 150/414 (36.2%) 3/45 (6.7%) 143/402 (35.6%) 6/30 (20%)
 Fast or difficult breathing 107/414 (25.9%) 0/45 (0.0%) 76/402 (18.9%) 5/30 (16.7%)
 When to return for next visit 278/414 (67.2%) 22/45 (48.9%)
 Importance of at least having four ANC visits 208/414 (50.2%) 10/45 (22.4%) N/A N/A N/A N/A