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Year : 2020  |  Volume : 4  |  Issue : 3  |  Page : 103-108

Management of gestational hypertension disorders in Saudi Arabia by primary care nurses

1 Department of Reproductive Endocrine and Infertility Medicine, King Fahad Medical City, Riyadh, Saudi Arabia
2 Department of Nursing, College of Applied Sciences, Al Maarefa University, Riyadh, Saudi Arabia
3 Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
4 Department of Maternity and Child Health Care Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Nazik M A. Zakari
Department of Nursing Administration, College of Applied Sciences, Al Maarefa University, P O Box 71666, Riyadh 11597
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sccj.sccj_32_20

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Objective: Failure of health-care providers to have sufficient knowledge and prevention measures of gestational hypertension leads to an increased rate of complications during pregnancy that may lead to the loss of the fetus. The study aims to determine the level of the nurses' knowledge working in primary health-care (PHC) centers regarding gestational hypertension disorders in Riyadh city. Subjects and Methods: A descriptive correlational, nonexperimental study design was conducted at 6 PHC centers using a self-administered questionnaire for nurses (n = 257). Results: Nurses had inadequate knowledge about the essential key items of gestational hypertension disorders. Almost half of the nurses (44%) lacked knowledge about how to assess the fetal condition in case of gestational hypertension, and 57.98% of the sample had difficulty in identifying the signs and symptoms of mild preeclampsia. The majority of the sample (70.42%) had unsatisfactory knowledge about essential drugs for the treatment of preeclampsia; 54.08% of the nurses experienced insufficient knowledge about their role before the administration of magnesium sulfate drugs. In addition, study results show that there was a lack of knowledge on the appropriate management of preeclampsia among the majority study participants (98.83%) with a total knowledge mean score (19.09, 63.63%). Conclusion: Primary care nurses lacked the needed knowledge to identify and provide preventive care to women experiencing gestational hypertension. Furthermore, there was a lack of knowledge in regard to identifying the complications of preeclampsia. The nurses are accountable for the quality of maternity care, and a maternity training program must be considered.

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