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Intrapartum care at a tertiary hospital in Cambodia: A survey using the Bologna Score
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. (Omvårdnad)ORCID iD: 0000-0003-1382-4386
International Medical Research Center of Japan.
International Mother and Child Health Center in Phnom Pehn.
2011 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 28, no 6, e880-e885 p.Article in journal (Refereed) Published
Abstract [en]

Background: developing countries strive to reduce maternal- and child mortality, partly through establishing health centres/hospitals with skilled birth attendants. The aim of this study was to describe childbirth care, by the use of the BolognaScore at atertiaryhospital in Cambodia with approximately 8,500 births per year.

Methods: a prospective cross-sectional study. The BolognaScore instrument, which reflects the adaption of evidence-based care and attitudes of caregivers, was used for data collection and three study specific questions. The midwives collected data from 177 consecutive childbirths.

Results: all women were assisted by a skilled birth attendant, the majority by a midwife (63%) and the remaining women by a physician (35%) or midwife student under supervision. A spontaneous vaginal birth was planned for 82% of the women. All women seeking care at the hospital survived the childbirth. A full 5-point BolognaScore, suggesting evidence-based management for women with spontaneous vaginal birth, was not achieved for any of the women. The use of supine position and lack of an accompanying person in the birth room, were items responsible for loss of points. Partogram and skin-to-skin contact between baby and mother were items noted for three quarters of the planned vaginal births, and the item ‘Absence of labour augmentation’, was affirmed to a great extent. Little more than half of the women had an episiotomy and almost 16% of the children had an Apgar score <7 at 5 mins.

Conclusion: the BolognaScore was easy to use and pointed at items that could be improved. It was satisfying that all women survived, but alarming that 16% of the children had a low Apgar score. The findings suggest that childbirth care can be improved at the hospital.

Place, publisher, year, edition, pages
Elsevier, 2011. Vol. 28, no 6, e880-e885 p.
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-12607DOI: 10.1016/j.midw.2011.10.014ISI: apps.webofknowledge.com/InboundService.do?mode=FullRecord&customersID=Name&IsProductCode=Yes&product=WOS&Init=Yes&Func=Frame&DestFail=http%3A%2F%2Fwww.webofknowledge.com&action=retrieve&SrcApp=sfx&SrcAuth=Name&SID=T12x9AtvOLMdzaFv2nd&UT=WOS%3A000311936100008PubMedID: https://www.ncbi.nlm.nih.gov/pubmed/22172744OAI: oai:DiVA.org:kau-12607DiVA: diva2:512574
Available from: 2012-03-28 Created: 2012-03-28 Last updated: 2017-06-12Bibliographically approved

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