Urassa David P, Nystrom Lennarth, Carlstedt Anders, Msamanga Gernard I, Lindmark Gunilla
Department of Community Health, Muhimbili University College of Health Sciences (MUCHS), Dares Salaam, Tanzania.
Afr J Reprod Health. 2003 Dec;7(3):69-76.
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.
为评估产前护理管理妊娠期高血压的能力，在坦桑尼亚鲁菲吉区随机选择的16家产前诊所对379名孕妇进行了一项横断面研究。我们观察了必要的结构可用性、医护人员与患者的互动情况，对参加产前诊所的妇女进行了访谈，并测量了她们的血压。比较了观察者和医护人员的测量结果。三分之一的妇女未接受高血压检查，医护人员仅检测出12名血压升高妇女中的4名。医护人员和观察者测量的血压诊断存在分歧。只有一名血压升高的妇女得到了适当的管理。妊娠期高血压筛查和管理质量低下，使得期望产前护理计划对降低妊娠期高血压所致发病率或死亡率产生任何影响变得不太现实。
