Back to Search
Start Over
Quality of the Clinical Maternal and Neonatal Healthcare Assessment in a Tertiary Public Maternity Hospital in R. Macedonia.
- Source :
-
Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) [Pril (Makedon Akad Nauk Umet Odd Med Nauki)] 2019 Oct 01; Vol. 40 (2), pp. 57-65. - Publication Year :
- 2019
-
Abstract
- Introduction: Maternal and neonatal infections can be prevented, but they are still common in low and middle-developed countries. There is a connection between childbirth on one hand and postpartum and newborn care on the other. Globally, several efforts are being made to improve quality of childbirth by providing initial assessment of procedures, risk prevention and continuous monitoring of childbirth process and possible complications. The World Health Organization has developed Checklists for Safe Delivery with procedures to be implemented as routine care, in order to promptly detect and manage complications related to childbirth.<br />Material and Methods: A retrospective study was conducted in the University Clinic of Gynecology and Obstetrics in Skopje, a maternity hospital in R. Macedonia from the tertiary level of the public health care system. In this study 300 obstetric and 307 neonatal histories from childbirths in February and March 2018 have been analyzed. The collected data refers to the care of the prepartum, intrapartum, early postpartum and early neonatal periods.<br />Results: An initial assessment at admission proved that 14.7% of pregnant women had existing infection, in 93% of them the body temperature was measured and in only 9.3% urine analysis was made, 10.3% of the women had arterial hypertension, and 66.5% of them with hypertension had a headache. In the continuous monitoring and prevention of potential risk, arterial tension was measured in 33% of all mothers. In all women the placenta quality was checked up, as well as vaginal bleeding, application of oxytocin and hemoglobin level before discharge.<br />Conclusion: The quality and quantity of documented data in the maternity hospital medical histories is high. There were no standard protocols for assessment of pregnant women. Certain procedures are conducted in every woman during childbirth. Standardized procedures are needed to be applied during every childbirth.
- Subjects :
- Delivery, Obstetric standards
Female
Hospitals, Maternity standards
Humans
Infant Health
Infant, Newborn
Pregnancy
Pregnancy Complications, Infectious diagnosis
Pregnancy Complications, Infectious epidemiology
Puerperal Infection epidemiology
Puerperal Infection mortality
Republic of North Macedonia epidemiology
Retrospective Studies
Risk Factors
Maternal-Child Health Services standards
Pregnancy Complications, Infectious prevention & control
Puerperal Infection prevention & control
Quality of Health Care standards
Subjects
Details
- Language :
- English
- ISSN :
- 1857-8985
- Volume :
- 40
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
- Publication Type :
- Academic Journal
- Accession number :
- 31605585
- Full Text :
- https://doi.org/10.2478/prilozi-2019-0015