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Table 5 Summary of interventions to improve care of PPH

From: How to improve the quality of care for women with postpartum haemorrhage at Onandjokwe Hospital, Namibia: quality improvement study

No

Interventions

1

One hour of in-service training was organised on a weekly basis and the topic repeated for three weeks to ensure coverage of all clinical staff. The nurse in charge of the maternity ward made sure that all the nursing staff attended and expected that all doctors also attended. Topics initially focused on PPH and thereafter on a variety of obstetric topics (e.g. antenatal haemorrhage, neonatal resuscitation), including topics arising from significant events in the department. The researcher and head of obstetrics department initiated the training and subsequently different doctors and nurses also participated in leading the training.

2

Each nurse in charge of a shift made sure that all sphygmomanometers were functioning and reported any problems to the nurse in charge of maternity, who ordered new machines if necessary.

3

Guidelines and standard operating procedures were photocopied and made available for easy access to all staff members involved in patient’s management in the labour and postnatal wards

4

Nurse in charge of maternity ward allocated five beds in labour ward for women in the fourth stage of labour. An enrolled nurse took responsibility for the close monitoring of each women and recording of all clinical findings in the patient’s file. The nurse-in-charge checked all information prior to transfer to the postnatal ward.

In the postnatal ward, the nurse in charge again checked the completeness of information in the maternity record (documented from labour ward) and continued the same observations and instructions