East African Medical Journal

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Adherence to ministry of health guidelines in management of severe pre-eclampsia/eclampsia in Pumwani maternity hospital, Kenya

D. Muchiri, R. Koigi-Kamau, R. J. Kosgei, J. B. O. Oyieke, P. Michoma


Background: Guidelines have shown to impact positively on the management of medical conditions. The impact of these guidelines has not been evaluated for severe preeclampsia and eclampsia in Kenya.
Objective: To evaluate the level of adherence to Kenya Ministry of Health (MOH) guidelines in the management of severe pre-eclampsia and eclampsia at Pumwani
Maternity Hospital, Kenya.
Design: A cross sectional
Setting: Pumwani Maternity Hospital, Kenya.
Subjects: Records of women managed for severe pre-eclampsia and eclampsia, delivered
between 2010 and 2013.
Results: The overall adherence to guidelines was 31.4%. Adherence to specific parameters: history taking and examination, investigations, fetomaternal monitoring, use of recommended guidelines and post-partum guidelines was 67.8%, 13.9%, 26.1%, 29.5% and 20% respectively.
Conclusions: Adherence to Kenya Ministry of Health (MOH) guidelines in management of severe pre-eclampsia and eclampsia in Pumwani Maternity Hospital is poor. Studies on the reasons for poor adherence and implementation need to be carried out.

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