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Main Article Content
Factors influencing pre-eclampsia / eclampsia outcomes in high-risk patients in Zimbabwe: research
Abstract
Ernstige pre-eklampsie / eklampsie bly een van die hoofoorsake van moederlike sterftes in Zimbabwe. Gebaseer op die probleem is faktore wat verband hou met moederlike sterftes as gevolg van ernstige pre-eklampsie / eklampsie ondersoek, in 'n poging om die swangerskapsuitkomstes in Zimbabwe te verbeter. Gevalle en kontroles is geselekteer uit 318 ernstige pre-eklampsie / eklampsie obstetriese rekords ten einde 'n retrospektiewe gevallekontrolestudie uit te voer. Geen beduidende faktore was identifiseerbaar wat moederlike sterftes onder vrouens met ernstige pre-eklampsie / eklampsie beïnvloed het nie. Magnesiumsulfaat was nie as roetine, teenstrydig met internasionale aanbevelings, toegedien nie. Volgens verslae het gevalle klaarblyklik beter sorg gekry as kontroles. (Gevalle is gedefinieer as pasiënte wat met pre-eklampsie / eklampsie gediagnoseer was en daaraan beswyk het terwyl kontroles die toestande oorleef het). Aanbevelings wat op die navorsingsverslag gegrond is, sluit in dat vroedvroue se onderrig en indiensopleiding verbeter moet word, pasiënte se rekords aan gereelde ouditering onderwerp moet word, en dat beleid verander moet word om die toestande in Zimbabwe meer effektief te beheer.
Key words: Case fatality rate, Maternal mortality ratio, Quality care, Risk factor, Severe pre-eclampsia eclampsia
(Health SA Gesondheid : interdisciplinary research journal: 2003 8(1): 39-56)
