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March 25-26, 2019 | Amsterdam, Netherlands
2
nd
Global Public Health Congress
Journal of Community Medicine & Health Education | ISSN : 2161-0711
Volume 09
Global Public Health 2019
Improving post-partum care in a large hospital in New Delhi, India
D
espite recent progress, the maternal mortality ratio (MMR) in India remains high at
174 per 100 000 live births. Bhagwan Mahavir Hospital (BMH) is a secondary level
hospital in New Delhi. In 2013, five women died in BMH’s postpartum ward. In January
2014, a United States Agency for International Development-funded team met with BMH
staff to help improve their system for providing postpartum care to prevent maternal
deaths. The hospital staff formed a quality improvement (QI) team and, between January
and December 2014, collected data, conducted root cause analyses to understand why
postpartum women were dying and tested and adapted small-scale changes using plan-
do-study-act cycles to delivery safer postpartum care. Changes included reorganizing the
ward to reduce the time it took nurses to assess women and educating women and their
relatives about common danger signs. The changes led to an increase in the number of
women who were identified with complications from two out of 1667 deliveries (0.12%)
between January and May 2014 to 74 out of 3336 deliveries (2.2%) between July and
December 2014. There were no deaths on the postpartum ward in 2014 compared with
five deaths in 2013 but the reduction was not sustained after the hospital started accepting
sick patients from other hospitals in 2015. QI approaches can improve the efficiency of
care and contribute to improved outcomes. Additional strategies are required to sustain
improvements.
Biography
Mona Chopra has completed her MBBS from Gulbarga University Karnataka India and MPH from Texila
American University Guyana South America. She is presently an independent Quality Consultant in WHO.
Her case study has been published in “
British Medical Journal
” and other research works in “
Indian Journal of
Community Medicine
”.
chopramona72@gmail.comMona Chopra, J Community Med Health Educ 2019, Volume 09
DOI: 10.4172/2161-0711-C2-056
Mona Chopra
Texila American University, Guyana