Quality audit on Diagnosis of Pre eclampsia at Moi Teaching and Referral Hospital

Citation:
A O. "Quality audit on Diagnosis of Pre eclampsia at Moi Teaching and Referral Hospital." Kenya Nursing Journal. 2011;41(2):45-49.

Abstract:

Background: Pregnancy and childbirth are usually a time of celebration in most parts of the world and is often marked with rituals in all societies. However this period of time can be the hardest of all experiences with anxiety and concern for some women. This is because a number of pregnant women end up with disabilities or even death due to pregnancy related complications. Pre eclampsia is one of the conditions that are responsible for maternal morbidity and mortality. Screening and monitoring in pregnancy are some of the strategies used by health care providers to identify high risk pregnancies so that they can provide more targeted and appropriate treatment and follow up care, and to monitor fetal well being in both low and high risk pregnancies.
Purpose: The aim of the study was to identify whether blood pressure and urinalysis are done for mothers seeking antenatal and delivery services at Moi Teaching and Referral Hospital Eldoret.
Methods: A review of records at the antenatal, labor and delivery units at Moi Teaching and Referral Hospital.
Findings: over 96% of women came for first visit and had their Blood Pressure taken, 48.7% of women came for the second visit and had their blood pressure taken, 17.8% of women came for the third visit and had their blood pressure taken and 5.6% of women came for the fourth visit and had their blood pressure taken . All women admitted to the labor ward had blood pressure measured and recorded. 40% of the women admitted to labor ward had urinalysis done.
Conclusion: Blood Pressure and urinalysis are key in the early diagnosis and management of Pre eclampsia and other hypertensive states in pregnancy. There is need that they are done as routine procedures.

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