Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe
Abstract Background Stillbirths are distressing to the parents and healthcare workers. Globally large numbers of babies are stillborn. A number of strategies have been implemented to try and reduce stillbirths worldwide. The objective of this study was to assess the impact of leadership and accounta...
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| Format: | Article |
| Language: | English |
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BMC
2017-07-01
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| Series: | BMC Research Notes |
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| Online Access: | http://link.springer.com/article/10.1186/s13104-017-2567-z |
| _version_ | 1818449602676785152 |
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| author | Solwayo Ngwenya |
| author_facet | Solwayo Ngwenya |
| author_sort | Solwayo Ngwenya |
| collection | DOAJ |
| description | Abstract Background Stillbirths are distressing to the parents and healthcare workers. Globally large numbers of babies are stillborn. A number of strategies have been implemented to try and reduce stillbirths worldwide. The objective of this study was to assess the impact of leadership and accountability changes on reducing full term intrapartum stillbirths. Methods Leadership and accountability changes were implemented in January 2016. This retrospective cohort study was carried out to assess the impact of the changes on fresh full term intrapartum stillbirths covering the period 6 months prior to the implementation date and 12 months after the implementation date. The changes included leadership and accountability. Fresh full term stillbirths (>37 weeks gestation) occurring during the intrapartum stage of labour were analysed to see if there would be any reduction in numbers after the measures were put in place. Results There was a reduction in the number of fresh full term intrapartum stillbirths after the introduction of the measures. There was a statistical difference before and after implementation of the changes, 50% vs 0%, P = 0.025. There was a reduction in the time it took to perform an emergency caesarean section from a mean of 30 to 15 min by the end of the study, a 50% reduction. Conclusions Clear and consistent clinical leadership and accountability can help in the global attempts to reduce stillbirth figures. Simple measures can contribute to improving perinatal outcomes. |
| first_indexed | 2024-12-14T20:38:01Z |
| format | Article |
| id | doaj.art-f936695b590d475081cfc5802cd9f0ea |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-12-14T20:38:01Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-f936695b590d475081cfc5802cd9f0ea2022-12-21T22:48:21ZengBMCBMC Research Notes1756-05002017-07-011011310.1186/s13104-017-2567-zReducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, ZimbabweSolwayo Ngwenya0Department of Obstetrics & Gynaecology, Mpilo Central HospitalAbstract Background Stillbirths are distressing to the parents and healthcare workers. Globally large numbers of babies are stillborn. A number of strategies have been implemented to try and reduce stillbirths worldwide. The objective of this study was to assess the impact of leadership and accountability changes on reducing full term intrapartum stillbirths. Methods Leadership and accountability changes were implemented in January 2016. This retrospective cohort study was carried out to assess the impact of the changes on fresh full term intrapartum stillbirths covering the period 6 months prior to the implementation date and 12 months after the implementation date. The changes included leadership and accountability. Fresh full term stillbirths (>37 weeks gestation) occurring during the intrapartum stage of labour were analysed to see if there would be any reduction in numbers after the measures were put in place. Results There was a reduction in the number of fresh full term intrapartum stillbirths after the introduction of the measures. There was a statistical difference before and after implementation of the changes, 50% vs 0%, P = 0.025. There was a reduction in the time it took to perform an emergency caesarean section from a mean of 30 to 15 min by the end of the study, a 50% reduction. Conclusions Clear and consistent clinical leadership and accountability can help in the global attempts to reduce stillbirth figures. Simple measures can contribute to improving perinatal outcomes.http://link.springer.com/article/10.1186/s13104-017-2567-zFresh full term intrapartum stillbirthsLeadershipAccountabilityPerinatal outcomesLow-resource settingsMpilo Central Hospital |
| spellingShingle | Solwayo Ngwenya Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe BMC Research Notes Fresh full term intrapartum stillbirths Leadership Accountability Perinatal outcomes Low-resource settings Mpilo Central Hospital |
| title | Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_full | Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_fullStr | Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_full_unstemmed | Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_short | Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe |
| title_sort | reducing fresh full term intrapartum stillbirths through leadership and accountability in a low resource setting mpilo central hospital bulawayo zimbabwe |
| topic | Fresh full term intrapartum stillbirths Leadership Accountability Perinatal outcomes Low-resource settings Mpilo Central Hospital |
| url | http://link.springer.com/article/10.1186/s13104-017-2567-z |
| work_keys_str_mv | AT solwayongwenya reducingfreshfulltermintrapartumstillbirthsthroughleadershipandaccountabilityinalowresourcesettingmpilocentralhospitalbulawayozimbabwe |