학술논문
Outcome of interventions to improve the quality of intrapartum care in Nigeria’s referral hospitals: a quasi-experimental research design
Document Type
article
Author
Source
BMC Pregnancy and Childbirth, Vol 23, Iss 1, Pp 1-12 (2023)
Subject
Language
English
ISSN
1471-2393
Abstract
Abstract Background Evidence indicates that Nigeria’s high maternal mortality rate is attributable primarily to events that occur during the intrapartum period. This study determines the effectiveness of multifaceted interventions in improving the quality of intrapartum care in Nigeria’s referral hospitals. Methods Data collected through an exit interview with 752 women who received intrapartum care in intervention and control hospitals were analyzed. The interventions were designed to improve the quality indicators in the WHO recommendations for positive childbirth and assessed using 12 quality indicators. Univariate, bivariate, Poisson, and logistic regression analyses were used to compare twelve quality indicators at intervention and control hospitals. Results The interventions showed a 6% increase in composite score of quality of care indicators at intervention compared with control hospitals. Five signal functions of intrapartum care assessed were significantly (