Assessment of the Quality of Care Provided for Normal Delivery in three Hospitals in Baghdad

Abstract

Abstract:Objective: The aim of the current study is to assess the quality of care provided for normal deliveries by normal delivery records review.Design: During the period from the first of April to the end of May 2002 , ( 180 ) normal delivery records were reviewed for the year preceeding the study ( 1/1/2001 – 31/12 / 2001 ) in three hospitals in Baghdad (Al-Yermouk , Al–llwiya and Abu – Graib ) .Results: The study revealed that , standard delivery records (partographs) were available in all three hospitals surveyed , but the Partograph was either not used or used for selected cases . Analysis of normal delivery record to assess the quality of a normal vaginal delivery practice showed that vaginal examination was done according to the norms in the majority of cases ( 90.2% ) , while fetal heart and blood pressure monitoring was done ( according to the norms ) in 45% and 32.2% of cases respectively . The birth weight and assessment of the condition of the baby was reported in 67.2% and 17.2% of records respectively.Conclusion: To improve the current situation, several actions were suggested.