Objective:To assess current quality of postnatal care in tertiary
hospital in Lahore to identify areas for further improvement.Design:It
was descriptive cross-sectional study which employed quantitative method
to collect and analyze data.Setting:Lady Aitchison Hospital-a tertiary
hospital in Lahore.Population:Ninety-six maternities admitted in wards
of Lady Aitchison hospital during December 2021 to January
2022.Method:After IRB approval, consent was taken from mothers selected
by random sampling and interviewed using Donabedian framework
performa.Outcome Measures:Satisfaction with structure,process and
outcome of delivery in postpartum mothers were assessed.Results:Among 96
mothers,56% were below 25 years of age,39% had secondary
education,with more than one child(71%) and 57% visited for the first
time.Majority of mothers,were given medicine timely(82%) and found
attitude(85%) and information(83%) provided by healthcare workers
helpful.Their subjective satisfaction rate with staff was
90%.However,there was lack of proper guidelines and facilities for
examination,limited counselling of mothers regarding neonatal care and
substandard interior of hospitals.Vital steps such as neonatal and
maternal abdominopelvic,general and wound examination were left out in
upto 30%. Information regarding danger signs of mothers and neonates
was not given to 69% and information on family planning was given in
only 28%.Contentment with infrastructure of hospital was subpar and it
was suggested that sanitary conditions of washrooms and paraphernalia
i.e.heaters and beds needed improvement.Conclusions:This study suggests
that although patients were satisfied by services of healthcare
workers,the infra-structure of hospital can be upgraded to provide
better quality facilities in terms of air-conditioning,washrooms and
well-designed areas for extensive examination of breast,pelvis,abdomen
and neonates with introduction of WHO guidelines for postnatal care.
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