Screening and Brief Intervention for Intimate Partner Violence Among Antenatal Care Attendees at Primary Healthcare Clinics in Mpumalanga Province; South Africa

Background. It has been found that pregnant women experience a higher rate of intimate partner violence (IPV) than women who are not pregnant. This paper presents findings of a brief IPV intervention provided to pregnant women attending prevention of mother-to-child transmission of HIV services. Methods. Eighteen community workers were recruited and trained in assessment of and intervention for abuse during pregnancy. These were implemented for 10 months at 16 primary healthcare facilities in the Thembisile sub-district; Nkangala district; Mpumalanga Province; South Africa. Results. A total of 2 230 pregnant women were screened for abuse; 7.2 (160) screened positive and received a brief intervention. This was a 20-minute session on safety behaviours and strategies for dealing with the abuse; including referral to local support services. Eighty-four women attended a follow-up interview 3 months after the intervention. The mean danger assessment score of 6.0 before intervention fell significantly to 2.8 after 3 months. Conclusion. The brief intervention provided to these women contributed to a significant reduction in the level of IPV

Pattern and Outcome of Eclampsia Managed at a General Hospital in North-West Nigeria

Hypertensive disorders of pregnancy constitute major threats to maternal health during pregnancy; labour and the post-partum period. Eclampsia is a leading cause of maternal morbidity and mortality especially in low income and middle-income countries.Method: A retrospective review of the clinical records of women managed for eclampsia during a two-year period from December 2004 to November 2006 at the General hospital Aliero was undertaken.Results: Fifty-eight patients were managed for eclampsia during the 2-year period of study. Eclampsia occurred before and during labour in 47 patients while 11 patients had post-partum eclampsia.Conclusion: The reorientation of caregivers and the community in order to enhance awareness of eclampsia is recommended. The promotion of early presentation; routine antenatal care; and prompt referral to secondary center's as well as the provision of the resources for adequate management of eclampsia is advocated