Hypertension in pregnancy is a leading cause of maternal morbidity and mortality. Mortality usually results from eclampsia, a condition which is heralded by specific prodromal signs. Eclampsia can easily be prevented if a patient recognizes these signs, and seeks prompt care. Antenatal care provides a good opportunity to educate clients on the prodromal signs.
To determine if greater proportion of expectant mothers who have received antenatal care in Korle bu Teaching Hospital, KBTH (because of the ANC education) compared to those who have not received any antenatal care in the same hospital know the danger signs.
This was a cross–sectional study on pregnant women attending the antenatal clinic of the KBTH. An interviewer–administered questionnaire was used for data collection on the patients’ knowledge of danger signs of hypertension in pregnancy. The cleaned data were analysed using STATA 13. Continuous data were analyzed by means and standard deviation, and categorical data with frequencies. Tests of associations were done using Chi-square test with statistical significance at 5%, (p-value <0.05).
There were 260 respondents. One hundred and thirty women were first time attendants at the antenatal clinic of KBTH in the index pregnancy and had not received any antenatal education there, referred to as the “booking clients”. The remaining 130 had made at least 4 antenatal visits to the KBTH in the index pregnancy and were at least 34 weeks
pregnant; referred to as “continuing clients”. Six respondents from each group were excluded from the analysis on account of incompleteness.
Majority 104 (83.9 %) of the booking and 98 (79.0%) of the continuing patients could not mention any correct danger sign. Out of the Booking group only 20 (16.1%) of respondents knew the signs, compared to 26 (21.0 %) of the continuing patients. The difference in knowledge between the two groups is only 6 (4.9%) which was not significant p value=0.3270. Respondents who had attained tertiary level of education and respondents who were not referred from other facilities knew more danger signs of hypertension in pregnancy. Most patients with history of hypertension in pregnancy who could be considered as high risk did not know the danger signs.
Conclusion and recommendations
The study has demonstrated that an opportunity to educate clients on the danger signs of a leading cause of maternal mortality is being missed. There is need for restructuring of the antenatal education.
SSA, R (2021). ANTENATAL CLINIC, A MISSED OPPORTUNITY FOR HYPERTENSION EDUCATION. Afribary.com: Retrieved April 15, 2021, from https://afribary.com/works/antenatal-clinic-a-missed-opportunity-for-hypertension-education
Research, SSA. "ANTENATAL CLINIC, A MISSED OPPORTUNITY FOR HYPERTENSION EDUCATION" Afribary.com. Afribary.com, 01 Apr. 2021, https://afribary.com/works/antenatal-clinic-a-missed-opportunity-for-hypertension-education . Accessed 15 Apr. 2021.
Research, SSA. "ANTENATAL CLINIC, A MISSED OPPORTUNITY FOR HYPERTENSION EDUCATION". Afribary.com, Afribary.com, 01 Apr. 2021. Web. 15 Apr. 2021. < https://afribary.com/works/antenatal-clinic-a-missed-opportunity-for-hypertension-education >.
Research, SSA. "ANTENATAL CLINIC, A MISSED OPPORTUNITY FOR HYPERTENSION EDUCATION" Afribary.com (2021). Accessed April 15, 2021. https://afribary.com/works/antenatal-clinic-a-missed-opportunity-for-hypertension-education