Quality and uptake of antenatal and postnatal care in Haiti

Mirkovic, Kelsey; Lathrop, Eva; Hulland, Erin; Jean-Louis, Reginald; Lauture, Daniel; D’Alexis, Ghislaine Desinor; Handzel, Endang; Grandpierre, R

doi:10.1186/s12884-016-1202-7

Cited by 23 publications

(31 citation statements)

References 7 publications

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“…Establishing a two-way communication with the woman, making her a receptive and active participant in improving the process of care, is often a neglected aspect of delivery care provision [ 28 , 57 , 58 ]. Other studies in conducted in Malawi and Haiti have observed sharing inadequate information on postpartum care, specially information on danger signs [ 59 , 60 ]. In terms of maintaining privacy, though entry of males was restricted in all labour rooms, use of drapes and screens for providing privacy to the labouring women was not practiced, corroborating findings from other studies [ 27 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Is quality of care during childbirth consistent from admission to discharge? A qualitative study of delivery care in Uttar Pradesh, India

et al. 2018

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BackgroundImproving quality of maternal healthcare services is key to reducing maternal mortality across developing nations, including India. Expanding access to institutionalized care alone has failed to address critical quality barriers to safe, effective, patient-centred, timely and equitable care. Multi-dimensional quality improvement focusing on Person Centred Care(PCC) has an important role in expanding utilization of maternal health services and reducing maternal mortality.MethodsNine public health facilities were selected in two rural districts of Uttar Pradesh(UP), India, to understand women’s experiences of childbirth and identify quality gaps in the process of maternity care. 23 direct, non-participant observations of uncomplicated vaginal deliveries were conducted using checklists with special reference to PCC, capturing quality of care provision at five stages—admission; pre-delivery; delivery; post-delivery and discharge. Data was thematically analysed using the framework approach. Case studies, good practices and gaps were noted at each stage of delivery care.ResultsAdmission to maternity wards was generally prompt. All deliveries were conducted by skilled providers and at least one staff was available at all times. Study findings were discussed under two broad themes of care ‘structure’ and ‘process’. While infrastructure, supplies and human resource were available across most facilities, gaps were observed in the process of care, particularly during delivery and post-delivery stages. Key areas of concern included compromised patient safety like poor hand hygiene, usage of unsterilized instruments; inadequate clinical care like lack of routine monitoring of labour progression, inadequate postpartum care; partially compromised privacy in the labour room and postnatal ward; and few incidents of abuse and demand for informal payments.ConclusionsThe study findings reflect gaps in the quality of maternity care across public health facilities in the study area and support the argument for strengthening PCC as an important effort towards quality improvement across the continuum of delivery care.

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Section: Discussionmentioning

confidence: 99%

Is quality of care during childbirth consistent from admission to discharge? A qualitative study of delivery care in Uttar Pradesh, India

et al. 2018

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“…In addition, women with low educational attainment were less likely to receive advice on all items during counselling. Educational attainment is a typical determinant for access to and reception of quality healthcare 32 33. Disparities by socioeconomic status, especially in urban areas, need to be addressed in the national maternal care programme in Myanmar.…”

Section: Discussionmentioning

confidence: 99%

Advice on healthy pregnancy, delivery, motherhood and information on non-communicable diseases in the maternal care programme in Myanmar: a cross-sectional study

et al. 2019

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ObjectivePregnancy and delivery periods offer an opportunity for counselling women to improve behavioural risk and prevent complications, including non-communicable diseases (NCDs). However, little evidence is available on counselling offered during antenatal and postnatal care (PNC) in Myanmar. This study aimed to assess the contents of advice and information received by women during antenatal and postnatal counselling and to identify factors associated with receiving those advice and information.DesignCross-sectional study.SettingA predominantly rural township in the Ayeyawady region and a predominantly urban township in the Yangon region.Participants1500 women who had given birth in the last 6 weeks to 12 months prior to the survey.Outcome measuresReceiving advice on 18 items during antenatal counselling, 10 items during postnatal counselling and information on five major NCDs during antenatal care (ANC).ResultsNearly 52% of women received advice on 18 items during antenatal counselling, and 60% received advice on 10 items during postnatal counselling. About 28% received information on five NCDs during ANC. Women who were living in the Yangon site, who had primary school education or lower and who experienced complications were less likely to receive advice on all items during both antenatal and postnatal counselling. Women who received PNC outside of a healthcare facility and were primiparas were also less likely to receive advice on all items during postnatal counselling. Women living in the Yangon site and those who utilised a private care facility were less likely to receive information on NCDs.ConclusionsOnly 60% of women received advice on healthy pregnancy, delivery and motherhood, whereas 30% received information on NCDs. Although non-modifiable maternal factors were associated with these results, counselling practice can be improved and information on NCDs can be offered as the first step of integrated NCDs care in maternal care programme in Myanmar.

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“…Mirkovic ve ark. 25 araştırmasında gebelerin %80'inin fetal kalp sesleri kontrol edilmiştir. Çatak ve ark.…”

Section: Araştırmanın Etik Yönüunclassified

“…Mirkovic ve ark. 25 DÖB alan 894 gebe kadının önerilen danışmanlık eğitimlerini çok az kişi almıştır (%44'ü tehlike belirtileri hakkında danışmanlık, doğum sonrası aile planlaması için %33). Çok az kadın doğum sonrası bakım (n=63) almıştır.…”

Section: Araştırmanın Etik Yönüunclassified

Bir Üniversite Hastanesinde Doğum Yapan Kadınların Doğum Öncesi Bakım İçeriğinin Değerlendirilmesi

Kıssal

2019

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Bu çalışmanın amacı doğum öncesi bakım hizmetlerinin nicelik ve nitelik olarak değerlendirilmesidir. Yöntem: Tanımlayıcı türdeki bu çalışmanın evrenini bir üniversite hastanesinde son bir yılda doğum yapan 2649 kadın oluşturmuştur. Çalışma evreni bilinen örnekleme yöntemiyle; Şubat-Haziran 2017 tarihleri arasında kadın doğum servislerinde yatan, yeni doğum yapmış, araştırmaya katılmaya gönüllü 336 kadın üzerinde yürütülmüştür. Veriler sosyo-demografik özellikler, obstetrik özellikler, gebelikte alınan sağlık bakımı ve eğitimi belirleme formları ile toplanmıştır. Veriler tanımlayıcı istatistikler sayı, yüzde ve ortalama kullanılarak değerlendirilmiştir. Bulgular: Kadınların yaş ortalaması 28,92±5,71'dir. Gebelikte izlem sayısı ortalamasının 8,05±3,78 olduğu, %80,9'unun izlemlerinin hastanede yapıldığı, %83,3'ünün hemşire ve ebeler tarafından izlendiği, %86'sının 14. haftadan önce izlemlerine başlandığı belirlenmiştir. Gebelik boyunca alınan sağlık hizmetlerinin çoğunluğu ultrasonografi, non-stres test ve kan testidir. Gebelik süresince en az eğitim alınan konular; ağız ve diş sağlığı, sigara ve alkol kullanımı, vb. olarak saptanmıştır. Kadınların doğum sonu döneme hazırlıkta en çok anne sütü ve emzirme (%56,5) konusunda; yarısından daha azının ise yeni doğan bakımı, beslenme, aile planlaması, vb. ile ilgili konularda eğitim aldığı görülmüştür. Sonuç: Doğum öncesi bakım niteliği hala yeterli düzeyde olmayıp artırılması gereklidir. Sağlık personelinin doğum öncesi bakım hizmetlerinin nicelik yanı sıra niteliği konusunda daha duyarlı olmalarına yönelik girişimler planlanmalıdır.

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Quality and uptake of antenatal and postnatal care in Haiti

Cited by 23 publications

References 7 publications

Is quality of care during childbirth consistent from admission to discharge? A qualitative study of delivery care in Uttar Pradesh, India

Is quality of care during childbirth consistent from admission to discharge? A qualitative study of delivery care in Uttar Pradesh, India

Advice on healthy pregnancy, delivery, motherhood and information on non-communicable diseases in the maternal care programme in Myanmar: a cross-sectional study

Bir Üniversite Hastanesinde Doğum Yapan Kadınların Doğum Öncesi Bakım İçeriğinin Değerlendirilmesi

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