Obstetrics and Gynecology

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Browsing Obstetrics and Gynecology by Subject "Comprehensive Postnatal care, Teaching Hospitals"

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    Assessment of Comprehensive Postnatal Care Service Utilization and Associated Factors during Discharge at Three Teaching Hospitals, Addis Ababa, Ethiopia:A Cross Sectional Study,2021.
    (Addis Abeba University, 2021-10) Basha, Ferhia; Dr.Abdella, Ahmed (Associate Professor of Obstetrics and Gynecology, AAU); Dr.Fantahun, Yitbarek (Assistant Professor of Obstetrics and Gynecology, AAU)
    Background – Comprehensive postnatal care (CPNC) includes full assessment of physical, social and psychological well-being determining the health and survival of the mother and her newborn. Ethiopia is one of the low income countries with high maternal and neonatal mortality and morbidity and low utilization of postnatal care (PNC) services. The inconsistent transition from inpatient to outpatient may end up in missed opportunities to counsel on various healthy behaviors and behaviors with long term health risks and manage postpartum problems early to prevent presenting late with severe complications and even death of the mother and her newborn. Objectives - Assessing CPNC service utilization and associated factors among postpartum women during discharge at 3 teaching hospitals to identify gaps and recommend areas for actions to be undertaken to improve quality of care. Methods - An institution based cross-sectional study was conducted in three teaching hospitals in Addis Ababa, Ethiopia. Medical records and pretested structured questionnaire for interviewing postpartum mothers were used to collect data and convenience sampling method was used to select among postpartum mothers at three teaching hospitals. The collected data was entered and analyzed by Statistical package for social sciences (SPSS) version 25. Results – The study participants were 398. The overall comprehensive postnatal care utilization of all components was 0. Factors that affect comprehensive postnatal care utilization were educational level, ANC, time of information about comprehensive post-natal care utilization, mode of delivery and length of hospital stay. Those who delivered via CD had twice the likelihood of getting good counseling services. Conclusion and recommendations – CPNC utilization according to this study is very low. It is recommended that all postpartum women at any educational level should be informed about postnatal care and those informed during pregnancy are more likely to get full package of the postnatal care and therefore encouraging further effort at the antenatal care services. Additional effort is needed on counseling messages and measures have to be taken at each step to develop minimal standard of quality of care, quality indicators and pre-discharge checklist to avoid too early discharges prior to completion of the care.