A Quasi-Experimental Study to Compare the Effect of Respectful Maternity Care Using Intrapartum Birth Companion of Her Choice on Maternal and Newborn Outcome in Tertiary Care Centre

2021 ◽  
Author(s):  
Shrinivas N. Gadappa ◽  
Sonali S. Deshpande
Keyword(s):  
Experimental Study ◽  
Maternity Care ◽  
Tertiary Care ◽  
Respectful Maternity Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Quasi Experimental ◽  
Birth Companion ◽  
Maternal And Newborn

scholarly journals Implementation of RMC at Tertiary Care Centre in South India

2021 ◽  
Author(s):  
Papa Dasari ◽  
Mahalakshmy Thulasingam
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Maternity Care ◽  
Tertiary Care ◽  
Respectful Maternity Care ◽  
Disrespect And Abuse ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Care Workers ◽  
Birth Companion

Title: Implementation of RMC at Tertiary Care Centre in South IndiaAbstract:Background: Disrespect and abuse experienced during childbirth has been reported by women to various sections of health care workers. The objective was to abolish Disrespect and Abuse and to bring about a policy change in labour room practices and to implement Respectful Maternity Care (RMC) in a high-volume tertiary care teaching hospital in South India.Methods: A Workshop and Continuous Medical Education Programme involving RMC experts were conducted in Phase I with defined objectives. These targeted health care workers were nurses, resident doctors, consultants, medical nursing students involved in giving care during pregnancy and labour. In Phase II the Govt. of India Policy on Birth Companion was presented in a meeting discussing on the National guidelines of “LaQshya”. Consent forms for birth companions were introduced and a dedicated public health nurse was trained to train the birth companions regarding their role in maternal support. The change of policy was officially intimated to the hospital administration. A qualitative assessment was done whether the Residents and Nurses practiced RMC as demonstrated in the Workshop. The operationalization of the birth companion policy was followed on daily observations, enquiries and onsite surprise visits over one year period.Results: The practice of RMC was followed only by few health care workers and certain cadre of women who laboured, received RMC and disrespect and abuse still prevailed. The bottle necks identified were low socioeconomic status of women, the in-charge consultants not insisting on presence of birth companions, the residents and nurses not promoting birth companion policy.Conclusions: : Implementation of Respectful Maternity Care needs change of attitudes of personnel who render care during child birth and it can only be successful unless it forms an integral part of Medical and Nursing curriculum.

scholarly journals Establishing the practice of birth companion in labour ward of a tertiary care centre in India—a quality improvement initiative

2021 ◽  
Vol 10 (Suppl 1) ◽  
pp. e001409 ◽  
Author(s):  
Juhi Bharti ◽  
Aprajita Kumari ◽  
Rinchen Zangmo ◽  
Sonia Mathew ◽  
Sunesh Kumar ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Low Cost ◽  
Tertiary Care ◽  
Fish Bone ◽  
Respectful Maternity Care ◽  
Quality Improvement Initiative ◽  
Dress Code ◽  
Tertiary Care Centre ◽  
Labour Ward ◽  
Birth Companion

BackgroundBirth companion is a key component for providing respectful maternity care and has been recommended by WHO and Government of India. It is a low-cost beneficial intervention that is vital in improving quality of care during labour and delivery.Local problemDespite the available evidence on benefits of birth companion, there was no policy on allowing birth companion at our hospital in the past.Methods and interventionsWe aimed to establish the practice of allowing birth companions in all eligible women in labour ward from existing 0% to 50% in 6 weeks’ duration. This study was conducted in the Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi. A quality improvement (QI) team was formed, and after obtaining the baseline data, problems were analysed using fish bone chart. A new policy of allowing birth companion was made and efforts made to sensitise and train the doctors and nurses posted in labour ward. Changed ideas were executed in multiple plan-do-study-act (PDSA) cycles. Simple interventions such as dress code for birth companions, curtains for ensuring privacy, display of posters and frequent reminders on WhatsApp groups were planned .ResultsThe median value of women accompanied by birth companion marginally increased to 25% after the first PDSA cycle. Implementation of further changed ideas led to increase in median, which reached 66.6%. Thereafter, there was a decline, but by the end of 6 months, it was possible to attain the goal and sustain it.ConclusionsSimple steps of QI methodology can be used to address the prevalent problems in our healthcare. Implementation of any new practice comes with major challenges, but we could achieve our goal because of a motivated team working together on multiple changed ideas applied sequentially in PDSA cycles.

BIRTH COMPANION AND RESPECTFUL MATERNAL CARE – AN EXPERIENCE AT TERTIARY CARE CENTRE

2021 ◽  
pp. 39-42
Author(s):  
B. L. Patidar ◽  
Neha Seehra ◽  
Samay Singh
Keyword(s):  
Emotional Support ◽  
Maternal Care ◽  
Tertiary Care ◽  
Critical Element ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Felt Sense ◽  
Positive Feelings ◽  
Birth Companion

Background: The promotion of facility based delivery has been at the forefront of the international efforts to reduce maternal mortality, promoting respectful maternal care being recognized as critical element to improve the quality of maternal care. Aim-To explore the contribution of a birth companion during labor and child birth to promote respectful maternal care. Method: This is a descriptive study with qualitative approach involving the experience of 489 women who delivered during November 2019 to February 2020. Results: Mean age was 25.58 years, 48.67% participants were primigravida, in 52.35% cohort birth companion was given by mother-in-law followed by mother( 25.56%). Most common reason for companion was to build their condence (50.5%) followed by better emotional support (46.83%).All participants felt sense of newborn security due to companion. Conclusion: Birth companion generates positive feelings for women and contributes to humanization of delivery thus bringing a respectful and zero defect maternal care.

Emerging Antimicrobial Resistance Among Methicillin Resistant Staphylococcus Aureus (MRSA) in a Tertiary Care Centre in North India

JMS SKIMS ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 48-49
Author(s):  
Javaid Ahmad Bhat ◽  
Shariq Rashid Masoodi
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Tertiary Care ◽  
Resistance Mechanisms ◽  
North India ◽  
Global Public Health ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Effective Prevention ◽  
Mupirocin Resistance

Apropos to the article by Dr Bali, titled “Mupirocin resistance in clinical isolates of methicillin-sensitive and resistant Staphylococcus aureus in a tertiary care centre of North India” (1), the authors have raised important issue of emerging antimicrobial resistance (AMR). Antimicrobial resistance is an increasingly serious threat to global public health that requires action across all government sectors and society. As per WHO, AMR lurks the effective prevention and management of an ever-increasing spectrum of infections caused by bacteria, parasites, fungi and viruses. Novel resistance mechanisms are emerging and spreading globally, threatening the man’s ability to treat common infectious diseases.

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