Obstetric safety and quality at Istishari Arab Hospital: Where are we now and how can we improve? رسالة ماجستير

Abstract

Introduction: A variety of global-level monitoring initiatives has recommended indicators for tracking progress in maternal and newborn health. Quality of care is increasingly recognized as a critical aspect of the maternal and newborn health, mainly with respect to care around labor and delivery and in the immediate postnatal period. Objectives: This study is conducted to estimate the incidence of obstetric complications. Moreover, assessing the safety and quality of obstetrical procedures at Istishari Arab hospital in 2018. And, identifying the risk factors contributed to the adverse events in obstetric department. Methods: A retrospective study depends on using inpatient hospital electronic medical records. Research carried out in the field of inquiry in the electronic database and related studies. Maternal morbidity and adverse outcomes were identified by using International Classification of Diseases, 10th-Revision (ICD-10-CM) diagnosis and procedure codes within the health information system. In addition to the paper files. Descriptive, univariate and multivariate analysis were done using SPSS. Results: There were 418 women participated in this study with 62.2 % of them delivered by CS. The mean women age in this study was 27.8±4.8 years with about 58.1 % of them from Ramallah. After a multivariate analysis using logistic regression, our study found a positive correlation between educational level and prior CS on one side and surgical site infection on the other side with P-value 0.05. Also, our study has a positive association between rate of CS on one side and maternal age, diabetes, hypertension, and gynecological factors (prematurity, multiple gestation). VIII Conclusion: Increased rate of surgical site infection and other complications in patients with less education level or with a previous history of CS regardless of the number. Focusing on these factors and increase awareness and education, might support reducing obstetric complication in the future.