125 Risk perception of obstetrician for the prescription of magnesium sulfate in severe preeclampsia and eclampsia: A qualitative study in the public health system in Brazil: Magnesium sulphate

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• 作者：Maria Laura Laura Costa ; Fatima Aparecida Lotufo ; Mary Angela Parpinelli ; Maria Jose Osis ; Fernanda Garanhani Surita ; Jose Guilherme Cecatti
• 刊名：Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：6
• 期：3
• 页码：241
• 全文大小：91 K

文摘

Magnesium sulfate is the drug of choice for the prevention and control of seizures in the management of severe preeclampsia/eclampsia. Despite its use in virtually 100% of eclampsia cases in Brazil, maternal mortality due to this disorder still remains elevated. It is assumed that there is a misuse of magnesium sulfate, leading to a delay in the management of severe cases of preeclampsia/eclampsia.

absSec_2">Objective

To describe the obstetrician’s perception on the major reasons for underutilizing magnesium sulfate in severe preeclampsia/eclampsia.

absSec_3">Method

A qualitative clinical study, based on phenomenological reference was carried out 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 Brazil.

absSec_4">Results

Fear instilled by awareness of the risk 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 correct drug use.

absSec_5">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, broadening safety of drug prescription and thus reduce adverse outcomes related to PE and improving quality of maternal healthcare.

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