Assessment of Routine Management of Third Stage of Labor for Normal Delivery in Women's Health Center (University Hospital) and El-Eman Hospital (Ministry of Health Hospital) for Obstetrics and Gynecology
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Assessment of Routine Management of Third Stage of Labor for Normal Delivery in Women's Health Center (University Hospital) and El-Eman Hospital (Ministry of Health Hospital) for Obstetrics and Gynecology,MONA IBRAHIM, AHMED M. MAKHLOUF, MERVAT A. KHAMIS and EMAN R. AHMAD
Abstract
In the Arab world, most research efforts and programmatic interventions have understandably focused on complicated deliveries. However, globally normal deliveries represent 85% of births. Few studies have documented routine facility practices for normal labor in developing countries, little is known regarding facility-based normal labor in the Arab world. This study was unable to find data regarding actual (vs. reported) third-stage management in Egyptian facilities. This study was carried out to assess the routine management of third stage of labor and to identify gaps that required improving clinical care at Women's Health Center (University Hospital) and El-Eman Hospital (Ministry of Health Hospital) for Obstetrics and Gynecology. With respect to: Assess ma-ternal outcome as regards to sequence of third stage of normal labor, these hospitals were selected for data collection. The sample comprised of 1000 women (500 women in each hospital as A & B respectively) who were delivered normal vaginal delivery in Emergency wards. The study applied a descriptive cross sectional design in which two tools were used for data collection. A special structured questionnaire was designed to entail data related to sociodemographic, previous and current obstetric history and the second tool included obser-vation of health care providers' practices related to third stage management among two hospitals. The results demonstrated that about three-quarters (72.8%) of women in group (A) received active management of third stage of labor compared with (43.2%) of women's in in group (B). Almost all women managed by active method received uterotonic drugs (Oxyto-cin) during the third stage of labor. The minority among both groups had postpartum haemorrhage, only tears were apparent significantly increase among women received expectant management of third stage than active management group. Obstetricians encourage the women to pass urine for the majority of sample among group (A) (97.8%) compared with less than half (48%) among group (B).
Conclusion: 'Active management' is superior in use to 'expectant management' at University Hospital compared with Ministry Hospital. It is miserable that the majority of women attended the ministry hospital had certain aspects of managing third stage of labor by auxiliary workers.