Quality improvement in maternity care in Nigerian tertiary hospitals using a clinical tool that aids early diagnosis and treatment

Not Applicable

Completed

• Conditions: Clinical monitoring of women admitted to inpatient wards with direct and indirect obstetric-related conditions to prevent the occurrence of primary outcomes; Pregnancy and Childbirth

• Registration Number: ISRCTN15568048
• Lead Sponsor: iverpool School of Tropical Medicine

Brief Summary

2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36962704/ (added 07/11/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2019-04-19
• Study Start: 2020-09-09
• Last Update Posted: 20 November 2023

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 1200

Inclusion Criteria

1. Pregnant and postpartum women admitted to all inpatient wards due to complications developing antepartum or during the puerperium (42 days’ postpartum)
2. The KIIs participants (n=12) purposively selected senior midwives/nurses in administrative positions and doctors in the Obstetrics department
3. FGDs (n=6) conducted with junior nurses/midwives who undertake monitoring of obstetric patients using the EWS

Exclusion Criteria

1. In active labour
2. Discharged within 24 hours of normal vaginal birth
3. Meet any of the three maternal near-miss criteria before hospital admission (clinical, management-based and organ dysfunction-based criteria (Say, 2009))
4. Women admitted directly to the intensive care unit without going through any of the inpatient wards

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> Measured at the end of hospital stay (discharge or demise):<br> 1. Maternal death: death of a woman while pregnant or within 42 days of termination of pregnancy from causes related to or aggravated by the pregnancy or its management and not from accidental or incidental causes<br> 2. Direct obstetric complications (pre-eclampsia/eclampsia, antepartum haemorrhage, postpartum haemorrhage, sepsis, prolonged/obstructed labour, abortions complications, and thromboembolism), as defined by healthcare providers<br>