2.50
Hdl Handle:
http://hdl.handle.net/10755/621201
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Contributory Factors towards Perinatal and Infant Mortality in Jubilee Hospital
Author(s):
Manamela, Caroline; Ngomane, Sharon; Ngunyulu, Roinah
Lead Author STTI Affiliation:
Non-member
Author Details:
Caroline Manamela, Bcur; Sharon Ngomane, Mcur; Roinah Ngunyulu, PhD
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.

Keywords:
Maternal Child Nursing; Leadership; Perinatal Deaths; Quality Improvement
CINAHL Headings:
Perinatal Death; Perinatal Death--Prevention and Control; Perinatal Death--Risk Factors; Perinatal Death--South Africa; Perinatal Death--Nursing; Leadership; Maternal-Child Health; Maternal-Child Health--South Africa; Maternal-Child Nursing; Maternal-Child Nursing--South Africa
Repository Posting Date:
9-Feb-2017
Date of Publication:
9-Feb-2017
Conference Date:
2015
Conference Name:
Tau Lambda Conference 2015
Conference Host:
Tau Lambda Chapter of Sigma Theta Tau International
Conference Location:
Sunnyside Park Hotel, Johannesburg, South Africa
Sponsors:
Johnson & Johnson
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).

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleContributory Factors towards Perinatal and Infant Mortality in Jubilee Hospitalen_US
dc.contributor.authorManamela, Carolineen
dc.contributor.authorNgomane, Sharonen
dc.contributor.authorNgunyulu, Roinahen
dc.contributor.departmentNon-memberen
dc.author.detailsCaroline Manamela, Bcur; Sharon Ngomane, Mcur; Roinah Ngunyulu, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/621201-
dc.description.abstract<p>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.</p> <p>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%).</p> <p>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.</p> <p>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.</p> <p>The impact on mothers, the community an on my leadership journey will be highlighted in the poster.</p>en
dc.subjectMaternal Child Nursingen
dc.subjectLeadershipen
dc.subjectPerinatal Deathsen
dc.subjectQuality Improvementen
dc.subject.cinahlPerinatal Deathen
dc.subject.cinahlPerinatal Death--Prevention and Controlen
dc.subject.cinahlPerinatal Death--Risk Factorsen
dc.subject.cinahlPerinatal Death--South Africaen
dc.subject.cinahlPerinatal Death--Nursingen
dc.subject.cinahlLeadershipen
dc.subject.cinahlMaternal-Child Healthen
dc.subject.cinahlMaternal-Child Health--South Africaen
dc.subject.cinahlMaternal-Child Nursingen
dc.subject.cinahlMaternal-Child Nursing--South Africaen
dc.date.available2017-02-09T16:20:43Z-
dc.date.issued2017-02-09-
dc.date.accessioned2017-02-09T16:20:43Z-
dc.conference.date2015en
dc.conference.nameTau Lambda Conference 2015en
dc.conference.hostTau Lambda Chapter of Sigma Theta Tau Internationalen
dc.conference.locationSunnyside Park Hotel, Johannesburg, South Africaen
dc.description.sponsorshipJohnson & Johnsonen
dc.descriptionThis 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).en
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