| Autor: |
Kelienny de Meneses Sousa, Pedro Jesus Saturno-Hernandez, Tatyana Maria Silva de Souza Rosendo, Wilton Rodrigues Medeiros, Zenewton André da Silva Gama, Marise Reis de Freitas, Rose L Molina, Edna Marta Mendes da Silva |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
BMJ Open, Vol 12, Iss 3 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2021-056908 |
| Popis: |
Objective The WHO Safe Childbirth Checklist (SCC) is a promising initiative for safety in childbirth care, but the evidence about its impact on clinical outcomes is limited. This study analysed the impact of SCC on essential birth practices (EBPs), obstetric complications and adverse events (AEs) in hospitals of different profiles.Design Quasi-experimental, time-series study and pre/post intervention.Setting Two hospitals in North-East Brazil, one at a tertiary level (H1) and another at a secondary level (H2).Participants 1440 women and their newborns, excluding those with congenital malformations.Interventions The implementation of the SCC involved its cross-cultural adaptation, raising awareness with videos and posters, learning sessions about the SCC and auditing and feedback on adherence indicators.Primary and secondary outcome measures Simple and composite indicators related to seven EBPs, 3 complications and 10 AEs were monitored for 1 year, every 2 weeks, totalling 1440 observed deliveries.Results The checklist was adopted in 83.3% (n=300) of deliveries in H1 and in 33.6% (n=121) in H2. The hospital with the highest adoption rate for SCC (H1) showed greater adherence to EBPs (improvement of 50.9%;p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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