Developing and Testing a Vaginal Delivery Safety Checklist

True, Barbara; Cochrane, Cindy; Sleutel, Martha Rider; Newcomb, Patricia; Tullar, Paul; Sammons, James H.

doi:10.1016/j.jogn.2015.12.010

Cited by 11 publications

(12 citation statements)

References 20 publications

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“…With this present study, we focus on the standardization of our clinical curriculum and measuring its impact on PCS of our participant with a prenatal skills checklist. Our choice of standardization of clinical skills through a checklist was influenced by the success of other checklists in maternal healthcare [ 21 , 22 , 23 ]. The initial development of our prenatal skills checklist occurred from November 2016 through March 2017.…”

Section: Discussionmentioning

confidence: 99%

Impact of Standardized Prenatal Clinical Training for Traditional Birth Attendants in Rural Guatemala

Hernandez¹,

Oliveira²,

Jones³

et al. 2018

Healthcare

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In low-and-middle-income countries (LMICs), traditional birth attendant (TBA) training programs are increasing, yet reports are limited on how those programs affect the prenatal clinical abilities of trained TBAs. This study aims to assess the impact of clinical training on TBAs before and after a maternal health-training program. A prospective observational study was conducted in rural Guatemala from March to December 2017. Thirteen participants conducted 116 prenatal home visits. Data acquisition occurred before any prenatal clinical training had occurred, at the completion of the 14-week training program, and at six months post program completion. The paired t-test and McNemar’s test was used and statistical analyses were performed with R Version 3.3.1. There was a statistically significant improvement in prenatal clinical skills before and after the completion of the training program. The mean percentage of prenatal skills done correctly before any training occurred was 25.8%, 62.3% at the completion of the training program (p-value = 0.0001), and 71.0% after six months of continued training (p-value = 0.034). This study highlights the feasibility of prenatal skill improvement through a standardized and continuous clinical training program for TBAs. The improvement of TBA prenatal clinical skills could benefit indigenous women in rural Guatemala and other LMICs.

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Section: Discussionmentioning

confidence: 99%

Impact of Standardized Prenatal Clinical Training for Traditional Birth Attendants in Rural Guatemala

Hernandez¹,

Oliveira²,

Jones³

et al. 2018

Healthcare

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“…Most authors, however, have used broad definitions of resources and environmental conditions. For example, using the term “environment” in searching birth studies, outcomes, and safety, we located studies of collaborative care, unit culture, and communication patterns among caregivers (American College of Nurse-Midwives, 2014; Lyndon et al, 2015; Mancuso et al, 2016; True et al, 2016). A complete list of search terms is available from the authors upon request.…”

Section: Environment and Resources At Births In The United Statesmentioning

confidence: 99%

Providers’ Reports of Environmental Conditions and Resources at Births in the United States

et al. 2018

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Environmental conditions and resources that may influence provider's behaviors have been investigated in birth environments focusing on location rather than conditions and available resources. Using a descriptive, cross sectional design, we surveyed a random sample of certified nurse-midwives (CNMs), obstetricians, family practice physicians, and certified professional midwives (CPMs) to describe conditions, resources, and workforce present during U.S. births. In all, 1,243 midwives and physicians reported most environmental resources were present at almost 100% of births they attended. Conditions varied: room noise acceptability restriction of phone calls/texts from any source and lighting kept to a minimum. Trainees were present at most births regardless of setting and provider type. The impact of room noise, phone calls/texting, and lighting on outcomes should be determined. The roles and impact of personnel, including trainees, should be described. The extent to which clusters of resources are associated with outcomes might provide new directions for interventions that improve care.

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“…For all deliveries, standard procedures should be implemented in order to reduce the risk of infections and other complications in mothers and neonates [4][5][6][7]. Intrapartum procedures that reduce infections and associated complications in births include: hygiene of hands of healthcare workers with using protective gloves, minimal number of vaginal examinations, mother's urinalysis, cardiotocography, timely diagnosis, and prolonged childbirth treatment, especially during premature rupture of the membranes, rational use of antibiotics in the maternity, good estimate of Apgar score in neonates, vital sings, blood pressure and temperature in pregnant women and newborn, proper umbilical cord care in neonates, etc.…”

Section: Intrapartum Procedures For Prevention Of Infections and Compmentioning

confidence: 99%

Intrapartum Procedures for Prevention of Infections and Complications in Mothers During Childbirth

Blazhevska

Donev

2018

Prilozi

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Introduction: Multiple factors can cause infection and other pathological conditions in mothers during childbirth. These risk factors and diseases/complications can be prevented or timely detected through the implementation of special protocols/procedures. The aim of this paper is to identify the implementation of procedures/measures for the prevention and detection of infections and risk factors for morbidity and mortality in four hospitals in the Republic of Macedonia, before and during childbirth. Material and Methods: A retrospective study was conducted in four hospitals in R. Macedonia, in December 2016, on certain days according to the same principle of selection in all institutions. The questionnaire used contained relevant and specific questions related to the application of procedures and protocols at the maternity clinic at the time of admission to the birthplace and immediately prior to delivery. Results: The study analyzes the performed procedures from 137 obstetric histories. Cardiotocograph was taken after the admission in a hospital in 86% of the mothers; a temperature was measured at only 47.5%, and arterial tension at 89.8%. Immediately before delivery, the color and odor of the vaginal discharge in 98.5% of the mothers was checked, urine was analyzed only in 8% of the mothers, and the analysis of the time of rupture of the mammalian sheaths in 98.6% of the mothers. Conclusion: The study showed that part of the analyzed procedures was not sufficiently implemented, and the percentage distribution varied between hospitals. There is a need for introduction of organized programs with standard procedures in maternity wards in order to protect against infections and other pathological conditions during childbirth.

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Developing and Testing a Vaginal Delivery Safety Checklist

Cited by 11 publications

References 20 publications

Impact of Standardized Prenatal Clinical Training for Traditional Birth Attendants in Rural Guatemala

Impact of Standardized Prenatal Clinical Training for Traditional Birth Attendants in Rural Guatemala

Providers’ Reports of Environmental Conditions and Resources at Births in the United States

Intrapartum Procedures for Prevention of Infections and Complications in Mothers During Childbirth

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