Intra-natal care practices of staff nurses with compliance to professional protocols
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20214608Keywords:
Barriers, Delivery, Intra-natal care practices, Staff nursesAbstract
Background: Intranatal care refers to care given throughout the process of all four stages of labor and is important for both mother and newborn. Safe delivery practice and compliance to intranatal care protocol by trained staff nurses is essential. The objectives were to identify the intra-natal care practices of staff nurses, compare intranatal care practices among the three selected hospitals and explore the barriers to compliance of intranatal care practices by staff nurses.
Methods: Cross-sectional observation design was used for the present study. The study was conducted in two phases to fulfil the objectives. Three hospitals were conveniently selected and about 42 delivery events were observed in phase I and 15 staff nurses were interviewed through semi-structured interview schedule to identify the barriers to compliance in phase II.
Results: It was found that majority of 8 (57.1%) staff nurses were in the age group of (25-42) years and maximum 13 (86.7%) staff nurses had attended training program related to intranatal care practices. In majority 24 (57.1%) deliveries, sterile technique for vaginal examination was not followed, in 33 (78.6%) deliveries cord pulsation was not assessed and in 39 (92.9%) deliveries baby was not placed on mother’s chest. Lack of required facilities leading to referral and non-cooperation of women during procedures were some identified barriers.
Conclusions: The present study findings revealed that the intranatal care practices were inappropriate, they were missing most essential practices that might harm to the mother or baby in future.
References
Reproductive and Child Health Module for Health Workers Female (ANM). National Institute of Health and Family Welfare, New Delhi, 2000.
Uma. Introduction to Prenatal, Intranatal and Postnatal Care. Liberate. Available from: https://www.lybrate.com/topic/introduction-to-prenatal-intranatal-and-postnatal-care/. Accessed on 15 July 2021.
Childbirth in India. Available from: https://en.wikipedia.org/wiki/Childbirth_in_India. Accessed on 5 May 2021.
LaQshy labour room quality improvement. National health mission. Ministry of health and family welfare; 2017. Available from: https://nhm.gov.in/New_Updates_2018/NHM_Components/RMNCH_MH_Guidelines/LaQshya-Guidelines/. Accessed on 2 February 2019.
Census of India. India Vital Statistics: Infant Mortality Rate: per 1000 Live Births, Mortality rate, infant (per 1,000 live births) 1971-2016. Available from: https://www.ceicdata.com/en/india/vital-statistics/vital-statistics-infant-mortality-rate-per-1000-live-births/. Accessed on 23 May 2019.
Yadavar S. India’s maternal mortality ratio dips to 113 in 2016-18, Assam has highest and Kerala lowest. The Print. Published on 16th July 2020. Available from: https://theprint.in/india/indias-maternal-mortality-ratio-dips-to-113-in-2016-18-assam-has-highest-and-kerala-lowest/462533/. Accessed on 15 July 2021.
Nawal MN. An introduction to maternal mortality. Obstet Gynecol. 2008;1(2):77-81.
Mishra I. Uttarakhand to have maternity waiting centers in hills to curb maternal and neonatal mortality. Times of India. Published on 16th December 2019. Available from: https://timesofindia.indiatimes.com/city/dehradun/uttarakhand-to-have-maternity-waiting-centres-in-hills-to-curb-maternal-neonatal-mortality/articleshow/72698967.cms. Accessed on 15 July 2021.
Uttarakhand health and family welfare society, Government of Uttarakhand. Department of medical health and family welfare, NRHM. Available from: https://www.ukhfws.org/. Accessed on 5 May 2019.
Pandey S, Singh A, Gaur A. Utilization of maternal health care services in Uttarakhand: comparative study between two divisions: Kumaun and Garhwal. Int J Integr Med Sci. 2019;6(1):760-4.
Nuriy LA, Ahmed HM. Nurse/Midwives’ practices during labor and delivery in maternity teaching hospital in Erbil City. Erbil J Nurs Midwife. 2018;1(1):23-32.
Mselle LT, Kohi TW, Dol J. Barriers and facilitators to humanizing birth care in Tanzania: findings from semi-structured interviews with midwives and obstetricians. Reprod Health. 2018;15(1):137.
