ArticleRwanda journal of medicine and health sciences2025
Midwives' Understanding and Preparedness for Pre-Eclampsia Risk Identification and Prevention in Nigeria: A Qualitative Study.
Article in Rwanda journal of medicine and health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Pre-eclampsia, is among the major causes of maternal and neonatal mortality worldwide, especially in developing countries. The World Health Organization recommends identifying and preventing pre-eclampsia as cost-saving measures essential to controlling the disease. Being the front-line managers of maternal care, the midwives' understanding and preparedness for pre-eclampsia prevention is absolutely necessary. Objectives: This study examined midwives' understanding and preparedness for risk identification and prevention of pre-eclampsia among pregnant women. Methods: A descriptive qualitative study that used an in-depth interview guide to collect data from 18 midwives who were purposively selected in south-western Nigeria. Data were collected between June and August, 2023, and analysed using content and thematic analysis. Results: Four major themes emerged: (1) midwives' understanding of pre-eclampsia risk identification and prevention (2) midwives' preparedness for pre-eclampsia prevention (3) midwives' responsibilities towards pre-eclampsia prevention and (4) challenges faced in pre-eclampsia prevention. The midwives demonstrated poor understanding and preparedness for pre-eclampsia prevention. Conclusion: Poor understanding, inadequate preparedness, and challenges of heavy workload, lack of approved guidelines and equipment for pre-eclampsia risk identification and prevention were observed among the midwives. Hence, the need for training and adequate provision of equipment to enhance pre-eclampsia prevention.
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