Adherence to Guidelines in Postpartum Management of Hypertensive Disorders in Pregnancy in Tertiary Health Facilities in Nigeria: A Multi-centre Study
العنوان: | Adherence to Guidelines in Postpartum Management of Hypertensive Disorders in Pregnancy in Tertiary Health Facilities in Nigeria: A Multi-centre Study |
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المؤلفون: | Patience Odusolu, Arie Franx, Salisu Mohammed Ishaku, Diederick E. Grobbee, KA Tunau, Aminu M. Baffah, Musa Abdulkarim, Hannifa Abubakar, Innocent Agbo, Lamaran Makama Dattijo, Lawal Oyeneyin, Joyce L. Browne, Olorunfemi O Owa, Onyebuchi K. Azubuike, Jamilu Tukur, Charlotte E. Warren, Gbenga A. Kayode |
المساهمون: | Obstetrics & Gynecology |
المصدر: | Health systems and reform, 7(1):e1932229. Taylor & Francis Ltd Health Systems & Reform, Vol 7, Iss 1 (2021) |
سنة النشر: | 2021 |
مصطلحات موضوعية: | Gestational hypertension, Medicine (General), medicine.medical_specialty, Nigeria, Health Informatics, Maternal morbidity, Preeclampsia, hypertensive disorders in pregnancy, postpartum management, R5-920, Health Information Management, SDG 3 - Good Health and Well-being, quality of care, Pregnancy, medicine, Humans, Multi centre, nigerian tertiary hospitals, reproductive and urinary physiology, Eclampsia, Obstetrics, business.industry, Postpartum Period, Public Health, Environmental and Occupational Health, Anticoagulants, Hypertension, Pregnancy-Induced, Venous Thromboembolism, medicine.disease, Blood pressure, Cohort, Female, Health Facilities, Public aspects of medicine, RA1-1270, business |
الوصف: | Hypertensive disorders in pregnancy (HDPs) are a leading cause of maternal morbidity and mortality. Available guidelines for their postpartum management are expected to be optimally utilized. This study aimed to determine adherence to guidelines in selected Nigerian tertiary hospitals. It was nested in a cohort of women with HDPs who delivered in eight facilities between October 2017 and June 2018. Nine weeks after delivery, their cases were evaluated on prespecified indicators and supplemented with interviews. The level of adherence to the guidelines was determined using descriptive analyses, including frequencies, percentages, means, and standard deviations, as well as charts. Of the 366 participants, 33 (9%), 75 (20%), 200 (55%), and 58 (16%) had chronic hypertension, gestational hypertension, preeclampsia, and eclampsia, respectively. Only about a third had their blood pressure measured between postpartum days three and five. Similarly, a third of those with persistent hypertension (≥140/90 mmHg) were not on antihypertensive medications within the first week postpartum. In addition, 37% and 42% of participants were not counseled on contraceptives and early subsequent antenatal visits, respectively. Among those with preeclampsia/eclampsia, 93% were not offered postpartum screening for thromboprophylaxis. Although all women with preeclampsia/eclampsia remained hypertensive two weeks after discharge, only 24% had medical reviews. Overall, only 58% and 44% of indicators were adhered to among all HDPs and preeclampsia/eclampsia-specific indicators, respectively. Level of adherence to guidelines on postpartum management of HDPs in Nigerian tertiary hospitals is poor. It is recommended that institutionalization of guidelines be prioritized and linked to the entire continuum from preconception through longer term postpartum care. |
وصف الملف: | application/pdf |
اللغة: | English |
تدمد: | 2328-8604 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a25b83ba164135170c3997dbccececc2 https://pure.eur.nl/en/publications/fb93bd83-5283-48db-86e7-21936b65a2d3 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....a25b83ba164135170c3997dbccececc2 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 23288604 |
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