Assessment of quality of care in the management of postpartum haemorrhage: A review of selected maternal death cases

dc.contributor.authorBoltman-Binkowski, Haaritha
dc.date.accessioned2016-09-20T10:15:43Z
dc.date.available2016-09-20T10:15:43Z
dc.date.issued2015
dc.description.abstractObstetric haemorrhage was the third most common cause of maternal death in South Africa for the triennium 2008 to 2010, increasing from the rate in 2005 to 2007. The major causes of death from haemorrhage remained similar during 2005 to 2010. Provincial assessments assert that 80.1% of these deaths were avoidable. Patient-related avoidable factors, mostly delay in seeking care, were present for only a third of the total deaths. A worrying 30.7% of deaths were due to lack of appropriately trained doctors or nurses. At least at the primary care level, midwives are expected to be able to recognise, manage and refer cases of postpartum haemorrhage (PPH). National management protocols inform practice in this area, since professional regulations are lacking. The primary objective of this study was to assess the clinical practices of midwives in managing postpartum haemorrhage and to report on the quality of care during this process. A quantitative design was utilised in this exploratory, descriptive study. The results of the analysis showed that the general quality of care was poor and basic lifesaving measures were only performed in half of the cases. In view of the maternal deaths caused by postpartum haemorrhage, poor quality of care by midwives should be urgently addressed.en_US
dc.description.accreditationDepartment of HE and Training approved listen_US
dc.identifier.citationBoltman-Binkowski, H. (2015). Assessment of quality of care in the management of postpartum haemorrhage: A review of selected maternal death cases, African Journal for Physical, Health Education, Recreation and Dance, October Supplement 1 (2): 549-557en_US
dc.identifier.issn2411-6939
dc.identifier.urihttp://hdl.handle.net/10566/2421
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherAfrican Association for Physical, Health Education, Recreation and Danceen_US
dc.rightsPublisher has given permission for this paper to appear in the Repository. Copyright is retained by publisher.
dc.status.ispeerreviewedtrue
dc.subjectPrimary health careen_US
dc.subjectObstetricsen_US
dc.subjectBleedingen_US
dc.subjectMidwivesen_US
dc.subjectMorbidityen_US
dc.subjectMortalityen_US
dc.titleAssessment of quality of care in the management of postpartum haemorrhage: A review of selected maternal death casesen_US
dc.typeArticleen_US

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