Quality assessment of stillbirth review: A pilot study in ten high-priority Districts in Odisha
Background: Stillbirth rate has shown less or no improvement in developing countries. India was estimated to have the largest number of stillbirths globally in 2015. Systematic review of stillbirths is a strategy that helps in identifying gaps in the care of a pregnant mother, and is a useful and co...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
| Series: | Indian Journal of Community Medicine |
| Subjects: | |
| Online Access: | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2021;volume=46;issue=3;spage=430;epage=433;aulast=Singh |
| _version_ | 1819001566505467904 |
|---|---|
| author | Snigdha Singh Manas Kumar Nayak Prashanta Kumar Routray Sushree Samiksha Naik Nirmal Kumar Mohakud |
| author_facet | Snigdha Singh Manas Kumar Nayak Prashanta Kumar Routray Sushree Samiksha Naik Nirmal Kumar Mohakud |
| author_sort | Snigdha Singh |
| collection | DOAJ |
| description | Background: Stillbirth rate has shown less or no improvement in developing countries. India was estimated to have the largest number of stillbirths globally in 2015. Systematic review of stillbirths is a strategy that helps in identifying gaps in the care of a pregnant mother, and is a useful and comprehensive indicator of the quality of maternity care. Objectives: The objective of this study was to assess the quality of maternal care, and factors causing stillbirth, and to provide some doable plans to reduce its incidence in the Odisha state. Materials and Methods: The stillbirth review was undertaken over 4-month timeline (August to November 2014) in ten high-priority districts (HPDs) of Odisha. It included development of tools, desk reviews, training of staffs, and data handling. The deaths were estimated from Annual Health Survey. It was compared to the estimated stillbirth of each district to get the underreporting/overreporting districts. A report was generated on stillbirth process indicators, and program indicators after completion of assessment. Results: In the selected HPDs of Odisha, 4689 stillbirths were observed during the study period. However, the labor room register stated the reason of death in only 408 cases (8.7%). Further, at the time of admission, a provisional diagnosis could be made for only 3038 (64.7%) cases, of which 11% diagnosed as safe delivery resulted in stillbirth. Conclusions: The present study could contribute to a larger extent to address some of the gaps in the stillbirth review process in Odisha. |
| first_indexed | 2024-12-20T22:51:15Z |
| format | Article |
| id | doaj.art-e41f825b745440c2aae80525a273bdc4 |
| institution | Directory Open Access Journal |
| issn | 0970-0218 1998-3581 |
| language | English |
| last_indexed | 2024-12-20T22:51:15Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Community Medicine |
| spelling | doaj.art-e41f825b745440c2aae80525a273bdc42022-12-21T19:24:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812021-01-0146343043310.4103/ijcm.IJCM_547_20Quality assessment of stillbirth review: A pilot study in ten high-priority Districts in OdishaSnigdha SinghManas Kumar NayakPrashanta Kumar RoutraySushree Samiksha NaikNirmal Kumar MohakudBackground: Stillbirth rate has shown less or no improvement in developing countries. India was estimated to have the largest number of stillbirths globally in 2015. Systematic review of stillbirths is a strategy that helps in identifying gaps in the care of a pregnant mother, and is a useful and comprehensive indicator of the quality of maternity care. Objectives: The objective of this study was to assess the quality of maternal care, and factors causing stillbirth, and to provide some doable plans to reduce its incidence in the Odisha state. Materials and Methods: The stillbirth review was undertaken over 4-month timeline (August to November 2014) in ten high-priority districts (HPDs) of Odisha. It included development of tools, desk reviews, training of staffs, and data handling. The deaths were estimated from Annual Health Survey. It was compared to the estimated stillbirth of each district to get the underreporting/overreporting districts. A report was generated on stillbirth process indicators, and program indicators after completion of assessment. Results: In the selected HPDs of Odisha, 4689 stillbirths were observed during the study period. However, the labor room register stated the reason of death in only 408 cases (8.7%). Further, at the time of admission, a provisional diagnosis could be made for only 3038 (64.7%) cases, of which 11% diagnosed as safe delivery resulted in stillbirth. Conclusions: The present study could contribute to a larger extent to address some of the gaps in the stillbirth review process in Odisha.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2021;volume=46;issue=3;spage=430;epage=433;aulast=Singhcommunity-based maternal death reviewindia newborn action planodishaperinatal mortalitystillbirthstrengthsweaknessesopportunitiesand threats analysis |
| spellingShingle | Snigdha Singh Manas Kumar Nayak Prashanta Kumar Routray Sushree Samiksha Naik Nirmal Kumar Mohakud Quality assessment of stillbirth review: A pilot study in ten high-priority Districts in Odisha Indian Journal of Community Medicine community-based maternal death review india newborn action plan odisha perinatal mortality stillbirth strengths weaknesses opportunities and threats analysis |
| title | Quality assessment of stillbirth review: A pilot study in ten high-priority Districts in Odisha |
| title_full | Quality assessment of stillbirth review: A pilot study in ten high-priority Districts in Odisha |
| title_fullStr | Quality assessment of stillbirth review: A pilot study in ten high-priority Districts in Odisha |
| title_full_unstemmed | Quality assessment of stillbirth review: A pilot study in ten high-priority Districts in Odisha |
| title_short | Quality assessment of stillbirth review: A pilot study in ten high-priority Districts in Odisha |
| title_sort | quality assessment of stillbirth review a pilot study in ten high priority districts in odisha |
| topic | community-based maternal death review india newborn action plan odisha perinatal mortality stillbirth strengths weaknesses opportunities and threats analysis |
| url | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2021;volume=46;issue=3;spage=430;epage=433;aulast=Singh |
| work_keys_str_mv | AT snigdhasingh qualityassessmentofstillbirthreviewapilotstudyintenhighprioritydistrictsinodisha AT manaskumarnayak qualityassessmentofstillbirthreviewapilotstudyintenhighprioritydistrictsinodisha AT prashantakumarroutray qualityassessmentofstillbirthreviewapilotstudyintenhighprioritydistrictsinodisha AT sushreesamikshanaik qualityassessmentofstillbirthreviewapilotstudyintenhighprioritydistrictsinodisha AT nirmalkumarmohakud qualityassessmentofstillbirthreviewapilotstudyintenhighprioritydistrictsinodisha |