Implementation of aseptic technique training and assessment to reduce the incidence of chorioamnionitis in laboring patients

Abstract

Chorioamnionitis may significantly affect the outcome of positive birth experiences for expecting mothers. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the University of Michigan’s Assessment Tool for Aseptic Technique and Assessment would impact the rate of maternal chorioamnionitis among laboring women admitted in a labor and delivery unit in a local Californian hospital over 30 days. Neuman’s system theory, Watson’s caring theory, and the plan, do, study, act (PDSA) cycle were the theoretical and conceptual underpinnings of the project. Data on chorioamnionitis rates were collected from a sample of women (n=856) using the California Maternal Quality Care Collaborative (CMQCC) source approach. Analyses revealed a statistically significant improvement in chorioamnionitis rates (ꭓ2 (1, n=856) = 29.55, p =.001). The clinical implication was that fewer laboring mothers were diagnosed with maternal infections following the implementation of the Aseptic Technique Intervention.