Audit of Intrapartum Care Based on the National Guideline for Midwifery and Birth Services

Minooee, Sonia, Simbar, Masoumeh, Sheikhan, Zohreh, and Majd, Hamid Alavi (2018) Audit of Intrapartum Care Based on the National Guideline for Midwifery and Birth Services. Evaluation & the Health Professions, 41 (3). pp. 415-429.

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Abstract

Providing high-quality maternity care is a worldwide health concern that necessitates regular assessment of intrapartum practice. In an observational study, we aimed to audit intrapartum care based on the National Guideline for Midwifery and Birth Services. Using quota sampling, a total of 200 pregnant women, admitted for normal vaginal delivery, were recruited from four educational hospitals in Tehran, Iran. An observational checklist was developed based on the national guideline to assess the quality of provided care. Content and face validity of the tool were checked and confirmed. Reliability of the observational checklist and questionnaire was confirmed using concurrent observation (intrarater reliability; r = .93) and test–retest (r = .9) methods, respectively. We found that the compatibility of intrapartum care and the national guideline in different domains were as follows: history taking 88.3%, vital sign measurement 64.6%, performing Leopold’s maneuver 38.5%, initial assessment 83.4%, labor care 22.5%, using pain relief methods 63.5%, labor progress assessment 71.5%, process of delivery 89.5%, and postpartum management 89.5%. The findings indicate that additional attention and monitoring are required to align current intrapartum care practices with the national guidelines.

Item ID: 81207
Item Type: Article (Research - C1)
ISSN: 1552-3918
Copyright Information: © The Author(s) 2018.
Date Deposited: 27 Nov 2023 22:56
FoR Codes: 42 HEALTH SCIENCES > 4204 Midwifery > 420401 Clinical midwifery @ 100%
SEO Codes: 20 HEALTH > 2003 Provision of health and support services > 200306 Midwifery @ 100%
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