Quality Assessment of Peripartum Care

Changaee, Farahnaz; Simbar, Masoumeh; Irajpour, Alireza; Akbari, Soheila

doi:10.5812/ircmj.9069

Cited by 8 publications

(12 citation statements)

References 12 publications

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“…Concerning quality of CS nursing care the present study exposed that half of studied mothers had received incomplete care preoperative and perioperative. The current study finding in linewith the study of Changaee, et al (2014) in Iran about the quality assessment of perioperative CS care. Regarding the nursing care of postoperative, the current study indicated that, majorityof studied sample had received incomplete and below standard care which in the same line with (Lotto, 2015), who concluded that the quality of postnatal care presentedto clients was poor , below standard and nurses did not compliance withpredetermined guide-lines for managing postpartum mothers.…”

Section: Discussionsupporting

confidence: 91%

“…Table (5) reveals a highly statistically significance concerning women's satisfaction level and number of parity and history of caesarean section (P =0.005*), Also, number of gravida, number of abortion and gestational age with women's satisfaction level (p>0.05). Table ( 6) shows that, there was a highly statistically significance between all items of women's satisfaction and quality C S nursing care offered. Table (7) shows a positive association between quality of CS care with the level of women's satisfaction.…”

Section: Resultsmentioning

confidence: 88%

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Quality of cesarean section nursing care and its reflection up-on women's satisfaction with labor experience

Abdelati¹,

Saadoon²,

Mostafa³

2019

IJANS

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Women satisfaction is a crucial predictor for maintaining and monitoring the quality of health care and can inform service development and delivery.Aim: To evaluate the quality of cesarean nursing care at hospital of Mansura University, the outcomes of it preserve ad-vanceandsupportqualityof care and womensatisfaction. By using a descriptive design the study conducted at obstetrics and gynecology department in Mansoura university hospital. On a total of 200women had undergoingelective cesarean section operation. Data collection by, structured interviewed questionnaire, observationchecklist and satisfactionassessment scale. Results; Findings indicated that most of studied women had received a complete care during intraoperative & immediate post-operative 92.5% & 95.0% respectively. Meanwhile, 80.0% & 62.5% of them didn't received health education and emotional support also , the higher percentage of studied women were satisfied with general environment, cleanliness, communication and physical care 75.0%, 75.0%, 65.0% and 58.0% respectively. While, 60.0% of them were dissatisfied with continuity of care. Regarding involving in decision making, all of studied sample100% were dissatisfied. Finally there was a positive association of quality of CS nursing care with the level of women's satisfaction with (p=<0.05) .Conclusion: The current study indicated that, there are several factors that affected on women's satisfaction. higher percentages of them were satisfied with general environment, cleanliness, communication and physical care and dissatisfied with psychological care, continuity of care and involvement in decision making. There was a highly statistically associationof women’s satisfaction with CS nursing care offered. Recommendation: Woman satisfaction is an imperative health care outcome its assessment is recommended tobe a part of hospital quality ofcare monitoring and improvement programs.

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Section: Discussionsupporting

confidence: 91%

Section: Resultsmentioning

confidence: 88%

Quality of cesarean section nursing care and its reflection up-on women's satisfaction with labor experience

Abdelati¹,

Saadoon²,

Mostafa³

2019

IJANS

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“…Each definition is reported in detail in Table 2. Some studies did not report whether soap use or handrub was necessary to achieve adequate hand hygiene and did not refer to guidelines that specifically do [20,22,24,26,27,29]; in addition often studies did not report if other aspects of hand hygiene such as the sequence of actions preceding or following hand washing/ rubbing, technique or duration were assessed in the summative compliance estimatesexcept for Gon Another aspect of the definition is the type of hand hygiene opportunity (when hand hygiene should occur). The WHO hand hygiene guidelines refer to five key hand hygiene opportunities: before clean/clean procedures, after exposure to body fluids, before touching the patient, after touching the patient, after touching the patient's surrounding.…”

Section: Definition Of Outcomementioning

confidence: 99%

“…Mannava et al reported a compliance 81% before gloving for delivery [27]. Simbar et al [29] and Changaee et al [20] reported on compliance during second stage of labour, although it was unclear whether compliance was before or after interaction with the patient or which type of interaction i.e. aseptic procedure, touching the patient.…”

Section: Definition Of Outcomementioning

confidence: 99%

Birth attendants’ hand hygiene compliance in healthcare facilities in low and middle-income countries: a systematic review

Gon

Barra

Dansero³

et al. 2020

BMC Health Serv Res

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Background With an increasing number of women delivering in healthcare facilities in Low and Middle Income Countries (LMICs), healthcare workers’ hand hygiene compliance on labour wards is pivotal to preventing infections. Currently there are no estimates of how often birth attendants comply with hand hygiene, or of the factors influencing compliance in healthcare facilities in LMICs. Methods We conducted a systematic review to investigate the a) level of compliance, b) determinants of compliance and c) interventions to improve hand hygiene during labour and delivery among birth attendants in healthcare facilities of LMICs. We also aimed to assess the quality of the included studies and to report the intra-cluster correlation for studies conducted in multiple facilities. Results We obtained 797 results across four databases and reviewed 71 full texts. Of these, fifteen met our inclusion criteria. Overall, the quality of the included studies was particularly compromised by poorly described sampling methods and definitions. Hand hygiene compliance varied substantially across studies from 0 to 100%; however, the heterogeneity in definitions of hand hygiene did not allow us to combine or compare these meaningfully. The five studies with larger sample sizes and clearer definitions estimated compliance before aseptic procedures opportunities, to be low (range: 1–38%). Three studies described two multi-component interventions, both were shown to be feasible. Conclusions Hand hygiene compliance was low for studies with larger sample sizes and clear definitions. This poses a substantial challenge to infection prevention during birth in LMICs facilities. We also found that the quality of many studies was suboptimal. Future studies of hand hygiene compliance on the labour ward should be designed with better sampling frames, assess inter-observer agreement, use measures to improve the quality of data collection, and report their hand hygiene definitions clearly.

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“…1 The American College of Obstetricians and Gynecologists reported in 1998 that *500,000 women die annually across the world from causes related to pregnancy and childbirth. Onequarter of the cases are caused by complications in the third stage of labor, 2 an interval between delivery of the neonate and expulsion of the placenta.…”

Section: Introductionmentioning

confidence: 99%

Third Stage of Labor and Acupuncture

Djaković

Bilić

et al. 2015

Medical Acupuncture

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Acupuncture use in obstetrics has been increasing in Western medicine, especially to alleviate complications of pregnancy, the most important cause of maternal mortality worldwide. One quarter of maternal deaths are caused by complications in the third stage of labor, an interval between complete delivery of the baby and the complete expulsion of the placenta. This review analyzes the increased acupuncture use for pregnancy complications as a potential method of reducting maternal mortality during the third stage of labor. This overview focuses on acupuncture points and techniques to manage the third stage of labor and help patients with retained placentas. Passive (or expectant) management of the third stage of labor is occasionally associated with massive obstetric hemorrhage, a major cause of maternal morbidity and mortality, especially in low-income countries. Active management of the third stage of labor has been shown to reduce the risk of postpartum hemorrhage. Use of acupuncture in the first and second stages of labor could lead to a faster separation of the placenta in the third stage of labor. The possible effects of acupuncture in cases of retained placentas may have significant implications for possible complications and final outcomes of labor. Further studies are needed for more conclusive results.

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Quality Assessment of Peripartum Care

Cited by 8 publications

References 12 publications

Quality of cesarean section nursing care and its reflection up-on women's satisfaction with labor experience

Quality of cesarean section nursing care and its reflection up-on women's satisfaction with labor experience

Birth attendants’ hand hygiene compliance in healthcare facilities in low and middle-income countries: a systematic review

Third Stage of Labor and Acupuncture

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