PubMed · 10338654
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R Augustine. 1998. Nurses can make a difference.. https://pubmed.ncbi.nlm.nih.gov/10338654/
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Pregnancies that were booked for antenatal care but delivered outside the health facilities were studied. The aim was to determine the perinatal outcome of these pregnancies, and also to compare the outcome with that of pregnancies that were booked and delivered in the University of Calabar Teaching Hospital (UCTH). Birth asphyxia was the commonest perinatal morbidity in both the study (14.3%) and control (4.8%) groups and was significantly higher in the study group than in the control (P < 0.01-P < 0.05). Incidence of neonatal infection tetanus and birth trauma was also significantly higher in the study than in the control groups (P < 0.01-P < 0.05). The incidence of prematurity, neonatal jaundice and congenital abnormality did not show any significant difference in the two groups (P > 0.05). The risk of perinatal death was three times higher in the study group than in the control. Proper public enlightenment campaigns and the establishment of a national health insurance scheme which may strengthen the use of orthodox health facilities for delivery, may improve the poor perinatal outcome in our community.
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The author has carried out a survey at hospitals in Hungary to examine how general family-centred obstetrics is, and to what extent obstetrics departments are able to meet the increasing demand for this exerted by society. In the course of the survey he focused on the characteristics of obstetrics departments, the preparation for delivery and maternity, open delivery-rooms, delivery with the partner, early mother-baby contact and rooming-in, and to what extent these operate. He describes the findings on the basis of data returned by 87 maternity departments, 81.3% of the total number of institutions in the country. The data reveals that 96.6% of wards have preparatory courses for delivery and maternity, 98.8% of open-delivery rooms welcome the partner at the delivery, early mother-baby contact is possible in 97.7% and 95.6% offer rooming-in. The study gives a comprehensive view of the present state of family-centred obstetrics offering an opportunity for everyone to re-evaluate their practices and to set up new objectives so that every mother and family can have easy access to family-centred obstetrics.