Nurse/Midwives' practices during labor and delivery in Maternity Teaching Hospital in Erbil City

Original Article

Authors

  • Lana Abdul-Hamed Muhammad Nuriy, MSc College of Nursing, Sulaimaniya University
  • Hamdia Mirkhan Ahmed, PhD Department of Midwifery, College of Nursing, Hawler Medical University

DOI:

https://doi.org/10.15218/ejnm.2018.04

Keywords:

Midwife; Practice; Quality; Labor; Delivery

Abstract

Background and objective: Labor is a life-changing event and is a high-risk time for both the fetus and the mother which affects them physically and emotionally, so proper care during labor and delivery is important. The study assessed the quality of the labor and delivery care by nurse/midwives.


Methods: A study was carried out to observe nurse/midwives’ practices during the stages of labor and delivery. The study was conducted in the delivery room of the Maternity Teaching Hospital in Erbil City, during the period 28th February 2013 to 20th May 2013. The non-probability sample included 15 midwives who gave care to mothers during labor. Data were collected through a questionnaire format and observation checklist.

Results: Midwives did not perform the following practice during labor and delivery: pre-paring the mother (84%), checking vital signs (93.3%), using aseptic technique for fixing a cannula (96.6%), providing privacy for the mother (84%), and using sterile technique for vaginal examination, catheterization, and episiotomy (91.6%) (91.7%) (92.5%) respectively, monitoring uterine contraction (98.3%), checking the progress of labor (93.4%) and se-lecting a suitable position for delivery (93%).


Conclusion: Nurse/midwives did not provide proper care during labor and delivery. Improvements in their practice through training courses and changing hospital and delivery room policies is recommended.

Metrics

Metrics Loading ...

References

[1] Cunningham FG, Leveno K, Bloom S, Hauth J, Gilstrap L, & Wenstrom K. Williams Obstetrics. 23rd ed. USA. McGraw-Hill Companies; 2010.
[2] NICE Clinical Guidelines, No. 55. London. National Collaborating Centre for Women's and Children's Health (UK). Intrapartum Care: Care of Healthy Women and their Babies during Childbirth. RCOG Press; 2007.
[3] UNCTI (United Nations Country Team Iraq). Maternal and child health. 2012. Available from: http://uniraq.org/FlipNewsletter/UN%20Iraq%20Newsletter%20-%20March%202012/mobile/index.html#p=15, [Accessed 19 Jun 2014]
[4] Littleton L & Engebretson J. Maternal Neonatal and Women's Health Nursing. USA. Delmar Thomson learning. 2002.
[5] Pillitteri A. Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 6th edition Philadelphia. Lippincott Williams & Wilkins. 2010.
[6] Hodnett E, Stremler R, Willan A, Weston J, Lowe N, Simpson K, et al. Effect on birth outcomes of a formalized approach to care in hospital labor assessment units. BMJ. [Internet]; 2008; 377 (100): 1021-1136. Available from: http://www.ncbi.nlm.nih.gov. [Accessed 20 Jul 2015]
[7] Rasheid, A. M. and Ali, R. M. (2008). Assessment of Nurse – Midwives Practices concerning perinatal care throughout stages of labor. University of Baghdad: Karbala J. Med. [Internet]. [Cited 2013 February 10]. 2008; 2(8,9). Available from: http://www.iasj.net/iasj?func=fulltext&aId=19189. [Accessed 2 Feb 2015]
[8] Simbar M, Ghafari F, Tork Zahran S, Majd H. (2009). Assessment of quality of midwifery care in labor and delivery words of selected Kurdistan medical science university. 2009; 22(3): 266-277. Available from: http://www.emeraldinsight.com/journals. [Accessed 12 Feb 2015]
[9] WHO. The WHO pantograph. Available from: http://books.mcai.org.uk/2.3.%20Managing%20normal%20labour%20and%20delivery.1.5MB/part3.htm. [Accessed 20 May 2015]
[10] Lavender, T., Aifirevic, Z. & Walkinshaw S. Effect of Different Partogram Action Lines on Birth Outcome. 2006.
[11] Mathibe-Neke JM, Lebeko F. L. 2 and Motupa B. The partograph: A labour management tool or a midwifery record? 2013; 5(8), DOI 10.5897/IJNM2013.0115 ISSN 2141-2456 © 2013 Available from: http://www.academicjournals.org/article/article1385033884_Mathibe-Neke%20et%20al.pdf. [Accessed 15 Mar 2015]
[12] POPPHI. Active Management of the Third Stage of Labor Data Obtained from Home Deliveries in the Cirebon District. 2006. Available from: https://www.path.org/publications/files/MCHN_popphi_amtsl_rpt_cirebon.pdf. [Accessed 4 Jun 2015]
[13] Kaur N, Kaur SPK.Skill development of Nurses in Managing the fourth stage of Labour. Saha Nursing and Midwifery Research Journal.2014;10(1).
[14] Khaier MGM. Assessment of midwifery and nursing care for patients with episiotomy in Albanjadeed Teaching Hospital. Thesis, Univerisity of Medical Sciences and Technology,2006.

Downloads

Published

2018-05-30

How to Cite

1.
Muhammad Nuriy LA-H, Ahmed HM. Nurse/Midwives’ practices during labor and delivery in Maternity Teaching Hospital in Erbil City: Original Article. Erbil j. nurs. midwifery [Internet]. 2018 May 30 [cited 2024 Dec. 30];1(1):23-32. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/13

Issue

Section

Original Articles