Obstetrician’s risk perception on the prescription of magnesium sulfate in severe preeclampsia and eclampsia: A qualitative study in BrazilReport as inadecuate




Obstetrician’s risk perception on the prescription of magnesium sulfate in severe preeclampsia and eclampsia: A qualitative study in Brazil - Download this document for free, or read online. Document in PDF available to download.

Introduction

Magnesium sulfate MgSO4 is the drug of choice for the prevention and control of seizures in the management of severe preeclampsia-eclampsia. Several barriers have been identified in the use of MgSO4, especially in low and middle-income settings.

Objective

To describe the obstetrician’s perception on possible reasons for underutilizing magnesium sulfate to treat preeclampsia-eclampsia.

Method

A qualitative clinical study, based on phenomenological reference by semi-structured interviews and open-ended discussions with obstetricians of the public healthcare system in primary care units PCU and referral maternity hospitals RMH, in a southeastern Brazilian city.

Results

Fear of drug toxicity was the major cause for not prescribing the medication in PCU. Fear was justified by insufficient technical, structural and organizational resources of healthcare facilities and by a shortage of physicians properly trained for adequate drug use.

Conclusion

Fear of toxicity of magnesium sulfate was the main barrier towards timely and proper drug use. Periodic skill development and training of obstetricians, along with integration of the medical team in the work environment may contribute to decrease fear, ensuring safety of drug prescription and thus possibly reducing adverse outcomes related to PE.



Author: Fátima Aparecida Lotufo, Mary Angela Parpinelli , Maria José Osis, Fernanda Garanhani Surita, Maria Laura Costa, José Guilherm

Source: http://plos.srce.hr/



DOWNLOAD PDF




Related documents