Audit of Intrapartum Care Based on the National Guideline for Midwifery and Birth Services
2018
Abstract
Providing high-quality maternity care is a worldwide health concern that
necessitates regular assessment of intrapartum practice. In an observational
study, we aimed to audit intrapartum care based on the National Guideline
for Midwifery and Birth Services. Using quota sampling, a total of 200
pregnant women, admitted for normal vaginal delivery, were recruited from
four developed based on the national guideline to assess the quality of provided
care. Content and face validity of the tool were checked and confirmed.
Reliability of the observational checklist and questionnaire was confirmed
using concurrent observation (intrarater reliability; r ¼ .93) and test–retest
(r ¼ .9) methods, respectively. We found that the compatibility of intrapartum
care and the national guideline in different domains were as follows:
history taking 88.3%, vital sign measurement 64.6%, performing Leopold’s
maneuver 38.5%, initial assessment 83.4%, labor care 22.5%, using pain relief
methods 63.5%, labor progress assessment 71.5%, process of delivery
89.5%, and postpartum management 89.5%. The findings indicate that
additional attention and monitoring are required to align current intrapartum
care practices with the national guidelines.educational hospitals in Tehran, Iran. An observational checklist was
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