Zalina Binti Ahmad
UiTM Puncak Alam, Malaysia
Title: Evaluation of compliance to management protocol of immediate postpartum care for life threatening complication after delivery in a tertiary hospital in Malaysia
Biography
Biography: Zalina Binti Ahmad
Abstract
Introduction & Aim: Despite the global report on reduction rate of maternal death, pessimistically many developing countries have not achieved the Millennium Development Goal (MDG) 5 to reduce maternal and neonatal mortality. Even though all delivery facility and skilled birth attendance are increasing and improving, compliance to the content and Quality of Care (QoC) in ensuring the provision of immediate postpartum care that prevent the incidence of postpartum complications call for retrace. The purpose of this study is to determine compliance to the immediate postpartum care for mother and newborn been carried out within two hours after spontaneous normal delivery by healthcare professional.
Methodology: A double blinded observational clinical audit was conducted. Self-administered questionnaires and standard protocol tool for management of immediate postpartum care adapted from Mervat, et al were used. Mother’s information collected from HIS (Hospital Information System). Total of 112 samples was included using convenience sampling inclusive of caregiver (Midwives/doctors) profile who conducted spontaneous vaginal delivery. Data collection was over a period of two months. Data was analyzed using statistics analysis package for social science for frequencies and percentages of variables.
Result: This study shows compliance rate of performing immediate postpartum care for newborn was 100%. However, 93% (n=104) noncompliance to immediate postpartum care. Study identify majority (88.4%) staffs did not perform pain score assessment as in the standard protocol for management of immediate postpartum care. Nevertheless, only minority (25.9%) did not encourage mother to empty bladder and only 8.9% did not initiate early breast feeding within 1 hour as breastfeeding policy.
Conclusion: Our finding indicates Quality of Care (QoC) with compliance to management protocol of immediate postpartum care requires health care organization strengthened and enhanced and documented auditing in order to achieve MDG 5.