Document Detail

Management of hypertension in pregnancy as a quality indicator of antenatal care in rural Tanzania.
MedLine Citation:
PMID:  15055149     Owner:  NLM     Status:  MEDLINE    
To assess the ability of antenatal care to manage hypertension in pregnancy, a cross-sectional study involving 379 pregnant women was conducted in 16 randomly selected antenatal clinics in Rufiji district of Tanzania. We observed necessary structural availability, provider client interaction, interviewed women attending antenatal clinics, and measured their blood pressure. Measurements made by observers and health workers were compared. One third of the women were not checked for hypertension and health workers detected only four out of twelve women with elevated blood pressure. There was disagreement in diagnosis of blood pressure as measured by health workers and observers. Only one woman with elevated blood pressure was managed appropriately. The low quality of screening and management of hypertension in pregnancy makes it less realistic to expect any impact of antenatal care programme in reducing morbidity or mortality due to hypertension in pregnancy.
David P Urassa; Lennarth Nystrom; Anders Carlstedt; Gernard I Msamanga; Gunilla Lindmark
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Publication Detail:
Type:  Comment; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  African journal of reproductive health     Volume:  7     ISSN:  1118-4841     ISO Abbreviation:  Afr J Reprod Health     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-04-01     Completed Date:  2004-04-22     Revised Date:  2006-12-08    
Medline Journal Info:
Nlm Unique ID:  9712263     Medline TA:  Afr J Reprod Health     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  69-76     Citation Subset:  IM    
Department of Community Health, Muhimbili University College of Health Sciences (MUCHS), Dares Salaam, Tanzania.
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MeSH Terms
Cross-Sectional Studies
Hypertension / therapy*
Maternal Health Services*
Pregnancy Complications, Cardiovascular / therapy*
Quality Indicators, Health Care
Rural Health Services*
Comment On:
Afr J Reprod Health. 2003 Dec;7(3):7-12   [PMID:  15055141 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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