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. 2016 Aug 30;16(1):254.
doi: 10.1186/s12884-016-1055-0.

Situational analysis of facilitators and barriers to availability and utilization of magnesium sulfate for eclampsia and severe preeclampsia in the public health system in Brazil

Fátima Aparecida Lotufo  1 , Mary Angela Parpinelli  2 , Maria José Osis  3 , Fernanda Garanhani Surita  1 , Maria Laura Costa  1 , José Guilherme Cecatti  1
Affiliations

Situational analysis of facilitators and barriers to availability and utilization of magnesium sulfate for eclampsia and severe preeclampsia in the public health system in Brazil

Fátima Aparecida Lotufo et al. BMC Pregnancy Childbirth. .

Abstract

Background: Eclampsia is the main cause of maternal death in Brazil. Magnesium sulfate is the drug of choice for seizure prevention and control in the management of severe preeclampsia and eclampsia. Despite scientific evidence demonstrating its effectiveness and safety, there have been delays in managing hypertensive disorders, including timely access to magnesium sulfate. To conduct a general situational analysis on availability and use of magnesium sulfate for severe preeclampsia and eclampsia in the public health system.

Method: A situational analysis was conducted with two components: a documental analysis on information available at the official websites on the policy, regulation and availability of the medication, plus a cross sectional study with field analysis and interviews with local managers of public obstetric health services in Campinas, in the southeast of Brazil. We used the fishbone cause and effect diagram to organize study components. Interviews with managers were held during field observations using specific questionnaires.

Results: There was no access to magnesium sulfate in primary care facilities, obstetric care was excluded from urgency services and clinical protocols for professional guidance on the adequate use of magnesium sulfate were lacking in the emergency mobile care service. Magnesium sulfate is currently only administered in referral maternity hospitals.

Conclusion: The lack of processes that promote the integration between urgency/emergency care and specialized obstetric care possibly favors the untimely use of magnesium sulfate and contributes to the high maternal morbidity/mortality rates.

Keywords: Cause-effect diagram; Eclampsia; Magnesium sulfate; Quality of care; Severe preeclampsia.

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Figures

Fig. 1
Fig. 1
Framework with the fishbone diagram to assess to magnesium sulfate use in severe preeclampsia and eclampsia. (Edraw Max software). Structural component: EMCS (Emergency Mobile Care Service), Maternity, Emergency Room, Urgency Care, Primary Health Unit. Organizational component: manager; Pharmaceutical component: accessibility, availability, applicability; Regulatory component: legislation, protocols, registration, national drug list
Fig. 2
Fig. 2
Healthcare Network (Health facilities) of the municipality of Campinas, SP, Brazil. Arabic numerals: geographic locations of the PHU (primary health unit); ☆ : Maternity hospitals; ○: UC/ER (urgency care/emergency room). crossed out numbers: non-participating PHU
See this image and copyright information in PMC

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