Successful implementation of evidence-based routines in Ukrainian maternities

Acta Obstetricia Et Gynecologica Scandinavica
Anna BerglundGunilla Lindmark

Abstract

To describe the process of change and assess compliance and effect on maternal and infant outcome when the WHO package Effective Perinatal Care (EPC) was implemented at maternities in Ukraine. Intervention study comparing outcomes before and during 2.5 years after training. Three maternities in Donetsk, Lutsk and Lviv 2003-2006. Baseline data were collected for 652, 742 and 302 deliveries and 420, 381 and 135 infants, respectively, in Donetsk, Lutsk and Lviv. Follow-up data included 4,561, 9,865 and 7,227 deliveries and 3,829, 8,658 and 6,401 infants. Staff training on evidence-based guideline. Interventions during labor, maternal outcomes and hypothermia in the infants. EPC procedures were successfully implemented and adherence to the protocols was excellent. For most variables, the change occurred during the first three months but was well sustained. The use of partogram increased fourfold in Donetsk and from 0% to 60% in Lviv. Induction and augmentation of labor decreased to less than 1% and less than 5%, respectively. Cesarean section rate dropped significantly in two of the maternities. The proportion of hypothermic infants decreased from 60% (Donetsk), 85% (Lutsk) and 77% (Lviv) to 1% in all three maternities during the f...Continue Reading

References

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Citations

Jan 5, 2012·PloS One·Giorgio TamburliniUNKNOWN Maternal and Neonatal Care Quality Assessment Working Group
Dec 27, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Nino NinidzeMedge Owen
Aug 21, 2012·Nursing for Women's Health·Lynn Clark Callister
Nov 26, 2010·Seminars in Perinatology·Stephen N WallJoy E Lawn
Sep 23, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·A Bacci
May 23, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Diana B ZetnerEbbe Thinggaard
May 6, 2019·Health Policy and Planning·Charles A AmehNynke van den Broek
Nov 19, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nicola PozziAngela Carla Borrelli

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