Quality of postnatal care service provided in Gandhi Memorial Hospital

Öz

Half of maternal mortality and two-thirds of neonatal mortality occur during the postnatal period. Effective, high-quality intervention during the postpartum period will significantly reduce the number of maternal and neonatal deaths. This study aims to assess the quality of the postnatal care service provided at Gandhi Memorial Hospital Addis Ababa. A cross-sectional study was conducted from May-June 2022 in Gandhi Memorial Hospital, mothers attending postnatal care were interviewed. Data Analysis was done using Statistical Package for the Social Sciences (SPSS) version 24. Results were presented using frequencies and percentages, as well as bivariate and multivariate analysis was conducted and those variables with a p-value < 0.05 were considered to be statistically significant the satisfaction level of mothers was used as the measure of the quality of care provided. The respondent’s ages were in the range of 16-42 years, with a mean of 27.3 ±4.59, and a median of 27, the majority between 20 years and 34 years old. Nearly all mothers who delivered by spontaneous vaginal delivery(SVD) stayed less than 24 hours in the hospital after their delivery. Being married, delivered by SVD, being informed on the procedure to be done, obtaining recommended nursing care, and, being counseled were obtained to be significant factors for maternal satisfaction with the overall quality of postnatal care provided in Gandhi Memorial Referral Hospital. Nearly half of the mothers before discharge were satisfied with the overall quality of postnatal care provided. Shortages of material resources were observed, and most of the nursing care needed to be provided for the mothers was neglected or missed.

Anahtar Kelimeler

• Quality
• postnatal care
• mother
• neonate
• Ethiopia

Gandhi Memorial Hastanesi'nde verilen doğum sonrası bakım hizmetinin kalitesi

Öz

Maternal mortalitenin yarısı ve yenidoğan mortalitesinin üçte ikisi doğum sonrası dönemde meydana gelir. Postpartum dönemde etkili, yüksek kaliteli müdahale, anne ve yenidoğan ölümlerinin sayısını önemli ölçüde azaltacaktır. Bu çalışma, Gandhi Memorial Hastanesi Addis Ababa’da sunulan doğum sonrası bakım hizmetinin kalitesini değerlendirmeyi amaçlamaktadır. Gandhi Memorial Hastanesi’nde Mayıs-Haziran 2022’den itibaren kesitsel bir çalışma yapılmış olup, doğum sonrası bakıma katılan annelerle görüşülmüştür. Veri analizi, Sosyal Bilimler için İstatistik Paketi (SPSS) 24 Versiyonu kullanılarak yapıldı. Sonuçlar frekanslar ve yüzdeler kullanılarak sunulmuş ayrıca iki değişkenli ve çok değişkenli analiz yapılmıştır. p değeri < 0,05 istatistiksel olarak anlamlı kabul edilmış olup verilen bakımın kalitesinin ölçüsü olarak annelerin memnuniyet seviyesi kullanılmıştır. Vaka yaşları, 16-42 yıl aralığında olup ortalaması 27.3 ± 4.59 ve medyanı 27, çoğunluk 20 yaş ve 34 yaş arası oluşmaktadır. Spontan vajinal doğum (SVD) ile doğum yapan neredeyse tüm anneler, doğumdan sonra hastanede 24 saatten az kaldı. Evli olmak, SVD ile doğum yapmak, yapılacak prosedür hakkında bilgilendirilmek ve önerilen hemşirelik bakımı görmek , Gandhi Memorial Tavsiye Hastanesi’nde sağlanan doğum sonrası bakımın genel kalitesi ile anne memnuniyeti için önemli faktörler olarak saptandı. Annelerin neredeyse yarısı taburcu olmadan önce sağlanan doğum sonrası bakımın genel kalitesinden memnun olmuştur. Maddi kaynak sıkıntısı gözlenmiş olup annelere sağlanması gereken hemşirelik bakımının çoğu ihmal edilmiş veya göz ardı edilmiştir.

Anahtar Kelimeler

• Kalite
• doğum sonrası bakım
• anne
• yenidoğan
• Etiyopya

Kaynakça

1. WHO. WHO technical consultation on postpartum and postnatal care. World Heal Organ [Internet]. 2010;1–56. Available from: https://apps.who.int/iris/bitstream/handle/10665/70432/WHO_MPS_10.03_ eng.pdf?seque nce=1&isAllowed=y
2. WHO. Postnatal Care for Mothers and Newborns Highlights from the World Health Organization 2013 Guidelines. Postnatal Care Guidel [Internet]. 2015;(April):1–8. Available from: http://www.who.int/maternal_child_adolescent%5CnWHO
3. Chhetri S, Shah R, Rajbanshi L. Factors Associated with Utilization of Complete Postnatal Care Service in Baglung Municipality, Nepal. Int J Reprod Med. 2020:1– 8.
4. Chungu C, Makasa M, Chola M, Jacobs CN. Place of Delivery Associated With Postnatal Care Utilization Among Childbearing Women in Zambia. Front Public Heal. 2018;6:6.
5. Demographic M, Survey H. Ethiopia. 2019.
6. Central Statistical Agency Addis Ababa EI. Demographic health survy Ethiopia. 2016.
7. The Mother-Friendly Childbirth Initiative. The First Consensus Initiative of the Coalition for Improving Maternity Services (CIMS). 1996;12(4):41–4.
8. Bohren MA, Hunter EC, Munthe-Kaas HM, Souza JP, Vogel JP, Gülmezoglu AM. Facilitators and barriers to facility-based delivery in low- and middle-income countries: A qualitative evidence synthesis. Reprod Health. 2014;11(1):1–17.

9. David LT. Assessment of the quality of Postnatal care services : A case study of Mbeya District Council. Matern Heal [Internet]. 2015;1(1):65. Available from: http://scholar.mzumbe.ac.tz/bitstream/handle/11192/1027/Msc-HM%26ETheopiter David LOTTO 2015.pdf?sequence=1
10. Hosmer D, Lemeshow S. Applied Logistic Regression. Hoboken. Vol. 354, Applied Logistic Regression. 2000.
11. Akhtari-Zavare M, Abdullah MY, Abdullah MY, Syed Hassan ST, Syed Hassan ST, Binti Said S, et al. Patient satisfaction: evaluating nursing care for patients hospitalized with cancer in Tehran teaching hospitals, Iran. Glob J Health Sci. 2010;2(1):117-26.
12. Ammo MA, Abu-Shaheen AK, Kobrosly S, Al-Tannir MA. Determinants of Patient Satisfaction at Tertiary Care Centers in Lebanon. Open J Nurs. 2014;04(13):939–46.
13. Kamau M. Assessment of Mothers’ Satisfaction With Immediate Post Natal Care at Kenyatta National Hospital Maternity Unit. 2019;(September). Available from: http://erepository.uonbi.ac.ke/handle/11295/108432
14. Rose EI, Janet AA. Evaluation of the quality of postnatal care and mothers satisfaction at the university college hospital Ibadan, Nigeria. Int J Nurs Midwifery. 2018;10(9):99–108.
15. Zulu M. Mothers’ Satisfaction with immediate postnatal care provided at Ndola Central Hospital, Zambia. Int J Nurs Stud. 2017;3.
16. Fakhr-Movahedi A, Rahnavard Z, Salsali M, Negarandeh R. Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study. J caring Sci. 2016;5(4):267–76.
17. Pregnancy, childbirth,postpartum and newborn care WHO 3rd edition 2015.
18. Nyagah A. Quality of Postnatal Care Among Mothers Within 24-48 Hours of Delivery in Postnatal Wards at Machakos County Referral Hospital, Kenya. 2020.
19. Kambala C, Lohmann J, Mazalale J, Brenner S, De Allegri M, Muula AS, et al. How do Malawian women rate the quality of maternal and newborn care? Experiences and perceptions of women in the central and southern regions. BMC Pregnancy Childbirth. 2015;15(1):1–19.
20. R Dlamini B, S Ziyane I, P Gule W. The Quality of Immediate Postnatal Care in Health Facilities in Swaziland: Experience of Postnatal Mothers. J AIDS Clin Res. 2017;8(3):1-6.
21. Nganga R. Quality of Postpartum Care among Teenage Mothers at Kenyatta National Hospital. Int J Res Heal Sci Nurs. 2012;12(6):234–49.
22. Hauspurg A, Jeyabalan A. Postpartum preeclampsia or eclampsia: defining its place and management among the hypertensive disorders of pregnancy. Am J Obstet Gynecol. 2022;226(2S):1211–21.
23. Amdemichael R, Tafa MS, Fekadu H. Maternal Satisfaction with the Delivery Services in Assela Hospital, Arsi Zone, Oromia Region. 2014;4(12):1-8.
24. McLellan J, Laidlaw A. Perceptions of postnatal care: factors associated with primiparous mothers: DkIT MultiSearch. BMC Pregnancy Childbirth [Internet]. 2013;13(227):22–9. Available from: http://eds.b.ebscohost.com/eds/pdfviewer/pdfviewer?vid=5&sid=c1b8a156-a005-4e78- 83d3-18aee12431bb%40sessionmgr102&thePreGuestLo ginUrl=/eds/detail/detail
25. Pindani M, Phiri C, Chikazinga W, Chilinda I, Botha J, Chorwe-Sungani G. Assessing the quality of postnatal care offered to mothers and babies by Midwivein Lilongwe District. South African Fam Pract. 2020;62(1):1–6.
26. Bayray A. Assessment of Quality of Postnatal Care Services Offered to Mothers in Hospitals, of Tigray Ethiopia 2016 Determinants of fertility in Ethiopia: a national survey View project. 2017;(July). Available from: www.stmjournals.com
27. Chimtembo LK, Maluwa A, Chimwaza A, Chirwa E, Pindani M. Assessment of quality of postnatal care services offered to mothers in Dedza district, Malawi. Open J Nurs. 2013;3(4):343–50.
28. Kongnyuy EJ, Hofman J, Mlava G, Mhango C, Broek N. Availability, utilisation and quality of basic and comprehensive emergency obstetric care services in Malawi. Matern Child Health J. 2009;13(5):687–94.
29. Brunero S. Ajan_25-3_Brunero-1. Aust J Adv Nurs. 2008;25(3):86–94.