Objective: Hypertensive disorders of pregnancy (HDP) is one of the leading causes of maternal as well as perinatal morbidity and mortality in developing countries. Early antenatal care, prompt clinical risk assessment & timely detection along with appropriate intervention plays a major role in preventing fatality. Major part of India resides in rural areas where health care facilities & high caliber manpower is limited. Hence it is vital that healthcare workers should have adequate knowledge and appropriate attitude towards managing such cases as they are the essential health care providers in rural areas of India. The study aims to assess the Knowledge, Attitude & Practice of trainee doctors and nurses regarding HDP at a tertiary care centre in Uttar Pradesh, India.
Materials & Method: It was a descriptive cross-sectional study conducted at tertiary care centre in Uttar Pradesh, India during the period from January 2021 to December 2021, in the department of Obstetrics and Gynaecology where 100 trainee doctors and 60 nurses were included. Face to face interview was conducted by consultant using a pretested questionnaire. The assessment was done by using a modified scoring system.
Result: Our study showed that 72.2% trainee doctors & 63.7% nurses had satisfactory knowledge regarding hypertensive disorders of pregnancy. Best practices were followed by 62.1% trainee doctors & 54.4% nurses while 77.6% trainee doctors & 82.3% nurses showed positive attitude towards HDP.
Conclusion: our study shows gap between knowledge, attitude and practice of doctors and nurses towards HDP. These results show that there is need improvement in knowledge and implantation of knowledge in practice. There is scope of improvement in both groups as shown by high positive attitude in the result. The study finds that periodic assessment of health workers, training along with skill development is required to address gaps and develop tailor made modules to build upon their strengths so that burden of the disease can be decreased.
Key words: Hypertensive disorders of pregnancy (HDP), Knowledge Attitude and Practice (KAP), developing country, trainee doctors, nurses, India
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