Abstract
Perinatal and infant mortality remains a serious challenge in developing countries including South Africa. Current statistics indicate that there is high perinatal and infant mortality in the selected district hospital in Tshwane. A retrospective audit of patient's files from March 2013 to April 2014 with the aim of reducing perinatal mortality at secondary and Primary Health Care (PHC) level.
Results indicate that the following are contributing factors of perinatal mortality: cultural beliefs, delayed antenatal referrals, delayed intrapartum referral, lack of transport, poor use of partogram. This factor contributes to the following causes of perinatal mortality: Intrauterine deaths (39%), severe Pre-eclampsia (7%), Antepartum haemorrage (15%), Pregnancy induced hypertension (13%), Hypoxia (11%), Prematurity (7%).
Based on the findings, we established a multi-disciplinary team and implemented an in-service training on Essential Steps in Management of Obstetric Emergencies (ESMOE), weekly unit perinatal discussions of mortality cases, and engaged PHC staff in monthly and quarterly prenatal reviews. We also established an open admission area for screening patients.
We recommend that patient records are reviewed before they are sent for filing, conduct quarterly audit of patient's record, all clients to be linked to Community Health Workers before discharge to strengthen the referral system and to ensure continuity of care during the postnatal period. This will enable the community health workers early and to refer the patients to the hospital for further investigation and management before complications arise.
The impact on mothers, the community an on my leadership journey will be highlighted in the poster.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
Quality Improvement
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Maternal Child Nursing, Perinatal Deaths
Recommended Citation
Manamela, Caroline; Ngomane, Sharon; and Ngunyulu, Roinah, "Contributory factors towards perinatal and infant mortality in Jubilee Hospital" (2017). Maternal-Child Health Nurse Leadership - Africa. 1.
https://www.sigmarepository.org/mchnla/2015/posters/1
Conference Name
Tau Lambda Conference 2015
Conference Host
Tau Lambda at-Large Chapter of Sigma Theta Tau International
Conference Location
Johannesburg, South Africa
Conference Year
2015
Rights Holder
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Review Type
Faculty/Mentor Approved: Sigma Academy Participant Poster
Acquisition
Proxy-submission
Contributory factors towards perinatal and infant mortality in Jubilee Hospital
Johannesburg, South Africa
Perinatal and infant mortality remains a serious challenge in developing countries including South Africa. Current statistics indicate that there is high perinatal and infant mortality in the selected district hospital in Tshwane. A retrospective audit of patient's files from March 2013 to April 2014 with the aim of reducing perinatal mortality at secondary and Primary Health Care (PHC) level.
Results indicate that the following are contributing factors of perinatal mortality: cultural beliefs, delayed antenatal referrals, delayed intrapartum referral, lack of transport, poor use of partogram. This factor contributes to the following causes of perinatal mortality: Intrauterine deaths (39%), severe Pre-eclampsia (7%), Antepartum haemorrage (15%), Pregnancy induced hypertension (13%), Hypoxia (11%), Prematurity (7%).
Based on the findings, we established a multi-disciplinary team and implemented an in-service training on Essential Steps in Management of Obstetric Emergencies (ESMOE), weekly unit perinatal discussions of mortality cases, and engaged PHC staff in monthly and quarterly prenatal reviews. We also established an open admission area for screening patients.
We recommend that patient records are reviewed before they are sent for filing, conduct quarterly audit of patient's record, all clients to be linked to Community Health Workers before discharge to strengthen the referral system and to ensure continuity of care during the postnatal period. This will enable the community health workers early and to refer the patients to the hospital for further investigation and management before complications arise.
The impact on mothers, the community an on my leadership journey will be highlighted in the poster.
Description
This presentation is the summation of a project undertaken as part of the Honor Society of Nursing, Sigma Theta Tau International, Maternal-Child Health Nurse Leadership Academy (2014-2015 cohort).