1. bookVolume 39 (2018): Issue 2-3 (December 2018)
Journal Details
License
Format
Journal
eISSN
1857-8985
ISSN
1857-9345
First Published
08 Sep 2014
Publication timeframe
2 times per year
Languages
English
access type Open Access

Intrapartum Procedures for Prevention of Infections and Complications in Mothers During Childbirth

Published Online: 31 Dec 2018
Page range: 113 - 120
Journal Details
License
Format
Journal
eISSN
1857-8985
ISSN
1857-9345
First Published
08 Sep 2014
Publication timeframe
2 times per year
Languages
English
Abstract

Introduction: Multiple factors can cause infection and other pathological conditions in mothers during childbirth. These risk factors and diseases/complications can be prevented or timely detected through the implementation of special protocols/procedures. The aim of this paper is to identify the implementation of procedures/measures for the prevention and detection of infections and risk factors for morbidity and mortality in four hospitals in the Republic of Macedonia, before and during childbirth.

Material and Methods: A retrospective study was conducted in four hospitals in R. Macedonia, in December 2016, on certain days according to the same principle of selection in all institutions. The questionnaire used contained relevant and specific questions related to the application of procedures and protocols at the maternity clinic at the time of admission to the birthplace and immediately prior to delivery.

Results: The study analyzes the performed procedures from 137 obstetric histories. Cardiotocograph was taken after the admission in a hospital in 86% of the mothers; a temperature was measured at only 47.5%, and arterial tension at 89.8%. Immediately before delivery, the color and odor of the vaginal discharge in 98.5% of the mothers was checked, urine was analyzed only in 8% of the mothers, and the analysis of the time of rupture of the mammalian sheaths in 98.6% of the mothers.

Conclusion: The study showed that part of the analyzed procedures was not sufficiently implemented, and the percentage distribution varied between hospitals. There is a need for introduction of organized programs with standard procedures in maternity wards in order to protect against infections and other pathological conditions during childbirth.

Keywords

1. WHO, UNICEF, UNFPA, United Nations Population Division and World Bank. Trends in maternal mortality: 1990-2015. Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2015. Available at: http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/Search in Google Scholar

2. Ministry of Health of the Republic of Macedonia. Guidelines for medical care in intrapartal care. Ministry of Health of the Republic of Macedonia, 2015: 67.Search in Google Scholar

3. Spektor JM, Agrawal P, Kodkany B, Lipsitz S, Lashoher A, et al. Improving quality of care for maternal and newborn health: Prospective pilot study of the WHO safe childbirth checklist program. PLoS One. 2012; 7(5): e35151. doi: 10.1371/journal.pone.0035151. Epub 2012 May 16.Search in Google Scholar

4. Ministry of Health of the Republic of Macedonia. Strategy for Safe Motherhood of the Republic of Macedonia for the period 2010-2015 with an action plan. Ministry of Health of the Republic of Macedonia, Skopje, 2009: 27.Search in Google Scholar

5. Kumar S, Yadav V, Balasubramaniam S, Jain Y, Joshi CS at al. Effectiveness of the WHO SCC on improving adherence to essential practices during childbirth, in resource constrained settings. BMC Pregnancy Childbirth. 2016 Nov 8; 16(1): 345.10.1186/s12884-016-1139-xSearch in Google Scholar

6. Lavender DT. Improving quality of care during labor and childbirth and in the immediate postnatal period. Best Pract Res Clin Obstet Gynaecol. 2016 Oct; 36: 57-67. doi: 10.1016/j.bpobgyn.2016.05.011. Epub 2016 Jun 25.10.1016/j.bpobgyn.2016.05.011.Epub2016Jun25Open DOISearch in Google Scholar

7. True BA, Cochrane CC, Sleutel MR, Newcomb P, Tullar PE, Sammons JH Jr. Developing and Testing a Vaginal Delivery Safety Checklist. J Obstet Gynecol Neonatal Nurs. 2016 Mar-Apr; 45(2): 239-48. doi: 10.1016/j.jogn.2015.12.010. Epub 2016 Feb 2.10.1016/j.jogn.2015.12.010.Epub2016Feb2Open DOISearch in Google Scholar

8. USAID, Better intrapartum practices to reduce newborn infection. Maternal and Child Health Integrated Program: 2013: 1–7. Available at: http://reprolineplus.org/system/files/resources/MCHIP_Brief_LaborCarePrevNBSepsis_En.pdfSearch in Google Scholar

9. Haws RA, Yakoob MY, Soomro T, Menezes EV, Darmstadt GL and Bhutta ZA. Reducing stillbirths: Screening and monitoring during pregnancy and labour. BMC Pregnancy childbirth, 2009; 9 (Suppl 1): S5. https://doi.org/10.1186/1471-2393-9-S1-S510.1186/1471-2393-9-S1-S5Open DOISearch in Google Scholar

10. Ugwumandu A. Understanding cardiotocographic patterns associated with intrapartum fetal hypoxia and neurologic injury. Best Pract Res Clin Ostet Gyneacol., 2013 Aug; 27(4): 509–36. https://doi:10.1016/j.bpobgyn.2013.04.00210.1016/j.bpobgyn.2013.04.002Search in Google Scholar

11. Vandenbroucke L, Doyen M, Le Lous M, Beuchee A, Loget P, at al. Chorioamnionitis following preterm rupture of membranes and fetal heart rate variabilitiy. PLos One., 2017 Sep 25; 12(9): e0184924. https://doi:10.1371/journal.pone.018492410.1371/journal.pone.0184924Search in Google Scholar

12. Zanella P, Bogana G, Ciullo R, Zambon A, Serena A, Albertin MA. Chorioamnonitis in the delivery room. Minerva Pediatr. 2010 Jun; 62 (3 Suppl1): 151–3.Search in Google Scholar

13. Perry H, Sheehan E, Thilaganathan B, Khalil A. Home blood-pressure monitoring in a hypertensive pregnant population. Ultrasound Obstet Gynecol. 2018 Apr; 51(4): 524–30.10.1002/uog.19023Search in Google Scholar

14. WHO: WHO Safe Childbirth Checklist. Available at: http://www.who.int/patientsafety/implementation/checklists/childbirth/en/Search in Google Scholar

15. Knoweles SJ, O’Sullivan NP, Meenan AM, Hanniffy R, Robson N. Maternal sepsis incidence, aetiology and outcome for mother and fetus: prospective study. BJOG. 2015 Apr; 122(5): 663–71. Doi:10.1111/1471-0528.12892.10.1111/1471-0528.12892Open DOISearch in Google Scholar

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