A Step Towards Lowering Maternal Mortality: Adoption of Elements of WHO's Safe Childbirth Checklist at A Tertiary Care Hospital of Rawalpindi, Pakistan: A Cross Sectional Survey
Journal Title: The International Journal of Frontier Sciences - Year 2019, Vol 3, Issue 1
Abstract
Background: Use of the World Health Organization’s (WHO) Safe Childbirth Checklist (SCC) has been associated with a significant reduction of maternal mortality. Method: A descriptive cross-sectional survey conducted at a tertiary care hospital of Rawalpindi in labour room and postnatal ward from February 2018 to July 2018. A sample size of 359 was estimated using WHO sample size calculator and were enrolled using purposive sampling technique. A close ended WHO standardized questionnaire covering the 22 elements of WHO SCC was used. Frequencies and percentages were documented of variables and data was analysed using SPSS version 23. Results: Mean age of participants was 27 ± 4.25 years. On admission, it was observed that being centre of excellence and referral, there was 100% availability of gloves and supplies to clean hands before and after each vaginal examination. Just before pushing or caesarean, it was found that in 342 (95.3%) patients, assistant was identified to help at time of birth. Immediately after one hour of birth, it was noted that 79 (22%) patients were bleeding abnormally and were immediately addressed. We also found out that only 79 (22%) of the mothers were counselled regarding family planning. Almost half of the participant mothers 182 (50.7%) or their companions were counselled regarding danger signs and to seek care immediately which should have been 100%. Conclusion: Excellent adoption of some of the element up to 100% was observed while some of the elements of checklist were poorly adopted; noticeable was counselling regarding family planning options immediate postpartum.
Authors and Affiliations
Maroof, Saira; Rashid, Zubaida; , Imtenan; Alam, Mahrukh; Nawaz, Rida; Nawaz, Salman; Amin, Maaz; Islam, Naseer ul; Hussain, Syed Irshad; Khan, Aimal
Trends in Health Wearables
In the last decade technology has advanced tremendously in all fields and health sector is equally benefited. Healthcare is more likely known as e-health in this era of information and technology because of its advanceme...
Detection of Single Nucleotide Polymorphism rs2013162 of IRF6 Gene in Patient with Cleft Lip and Palate
Background: Cleft lip and palate are congenital disorders which induce affected individuals medically, socially and psychologically. The objective of this study was to investigate the association of Single Nucleotide P...
Frequency of Diabetes Mellitus in Pulmonary Tuberculosis Patients
Background: Diabetes Mellitus is an important risk factor for Pulmonary Tuberculosis (PTB). Diabetes and Tuberculosis often present together and complicate each other at many levels. There is inadequate data on the fre...
Risk Factors of Diarrhoea in Malnourished Children under Age of 5 Years
Background: Acute infectious enteritis remains one of the commonest causes of death among infants and children in developing countries. Acute enteritis is defined as a loss of stool consistency with pasty or liquid stool...
Daily Activity Related Quality of Life in Chronic Obstructive Pulmonary Disease in Adults
Background: The significant reason for anguish as well as incapacity is chronic obstructive pulmonary disease (COPD). Activities of daily living might be relentlessly curbed among patients with COPD and appraisal needs e...