Soggiu-Duta Carmen Liliana, Suciu Nicolae
Department of Obstetrics-Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Department of Obstetrics-Gynecology, Alessandrescu Rusescu Institute for Mother and Child Care, Bucharest, Romania.
J Med Life. 2019 Oct-Dec;12(4):435-441. doi: 10.25122/jml-2019-0130.
Romania has drastically improved an array of health indicators in recent years, including maternal mortality rates, which decreased from 1990 to 2015, but the mortality rates are still high, ranking among the first in Europe. Preeclampsia and eclampsia constitute one of the primary causes of maternal death in the country. The study was conducted from early January to the end of February 2019 to assess the current state of resident physicians' and midwives' knowledge of preeclampsia and eclampsia reflected in their practice at a clinical hospital in southern Romania. Self-administered questionnaires were used for data collection. Most of the investigated resident physicians and midwives (87.5%) answered correctly regarding the correct definition of preeclampsia. The first choice of procedure for the patient with preeclampsia (vaginal delivery or C-section) was chosen correctly by only 37.5% of the participants. Regarding the correct identification of the necessary paraclinical tests used for women with suspected preeclampsia, 58.3% of the participants answered correctly. As far as the correct identification of the possible risks of dexamethasone administration to mothers is concerned, only 29.2% of the participants answered correctly. Also, 58.3% of the participants answered correctly regarding the correct identification of contraindicated uterotonic drugs for women with diagnosed hypertension. Resident physicians and midwives are aware of pregnancy complications, but they hold limited knowledge specific to pregnancy complications as preeclampsia and eclampsia. It is imperative to promote studies to evaluate the impact of enhancing their training to include additional content related to the early detection and management of preeclampsia and eclampsia.
近年来，罗马尼亚在一系列健康指标方面有了显著改善，包括孕产妇死亡率，该指标在1990年至2015年期间有所下降，但死亡率仍然很高，在欧洲名列前茅。先兆子痫和子痫是该国孕产妇死亡的主要原因之一。该研究于2019年1月初至2月底进行，旨在评估罗马尼亚南部一家临床医院住院医师和助产士在实践中对先兆子痫和子痫的认知现状。通过自行填写问卷收集数据。大多数接受调查的住院医师和助产士（87.5%）对先兆子痫的正确定义回答正确。对于先兆子痫患者的首选分娩方式（阴道分娩或剖宫产），只有37.5%的参与者选择正确。关于正确识别用于疑似先兆子痫女性的必要辅助临床检查，58.3%的参与者回答正确。就正确识别给母亲使用地塞米松可能存在的风险而言，只有29.2%的参与者回答正确。此外，58.3%的参与者对正确识别诊断为高血压的女性禁用的宫缩剂回答正确。住院医师和助产士了解妊娠并发症，但他们对先兆子痫和子痫等特定妊娠并发症的知识掌握有限。必须开展研究，以评估加强培训以纳入与先兆子痫和子痫的早期检测及管理相关的额外内容的影响。
