Quality of intra-partum care at a university hospital in Nepal: A prospective cross-sectional survey
Categorie(s):
Healt
Author(s):
Johanna Cederfeldt, Jenny Carlsson, Cecily Begley, Marie Berg
Keyword(s):
Kesehatan, kebidanan, Jurnal Internasional, jurnal, Intra-partum care, Quality of health care, Bologna score, Nepal, Survey
DOI:
Abstract :
ABSTRACT
Objective: To investigate the quality of intra-partum care provided to women with an expected normal
birth at a university hospital in Nepal.
Methods: A prospective cross-sectional study was conducted during three weeks in November 2013. Nurses
at the labor ward collected data from 292 consecutive births. Of these, 164 women of low risk were expected
to have a normal birth and were included in the study; 107 (65%) were nulliparous. The selfadministered
questionnaire covered maternal characteristics, previous pregnancies and births, current
pregnancy, labor and birth. Nine items assessed care management, five of which comprised the Bologna
score with a total possible score of 5: presence of a companion, use of partograph, non-use of augmentation,
non-supine position, and skin-to-skin contact.
Results: The women were assisted by physicians (56%), nurses (42%) or students under supervision (2%).
All were in good health after birth. Two had a postpartum hemorrhage exceeding 500 ml and 49% had
an episiotomy. Apgar score in all neonates was ? 7 at five minutes. Mean Bologna score was 1.43 (variance
0-3).
Conclusions: The management of care in normal birth could be improved in the studied setting, and there
is a need for more research to support such improvement.