dc.contributor.author | Manamela, Caroline | en |
dc.contributor.author | Ngomane, Sharon | en |
dc.contributor.author | Ngunyulu, Roinah | en |
dc.date.accessioned | 2017-02-09T16:20:43Z | |
dc.date.available | 2017-02-09T16:20:43Z | |
dc.date.issued | 2017-02-09 | |
dc.identifier.uri | http://hdl.handle.net/10755/621201 | |
dc.description | <p>This presentation is the summation of a project undertaken as part of the Honor Society of Nursing, Sigma Theta Tau International, Maternal-Child Health Nurse Leadership Academy (2014-2015 cohort).</p> | en |
dc.description.abstract | <p>Perinatal and infant mortality remains a serious challenge in developing countries including South Africa. Current statistics indicate that there is high perinatal and infant mortality in the selected district hospital in Tshwane. A retrospective audit of patient’s files from March 2013 to April 2014 with the aim of reducing perinatal mortality at secondary and Primary Health Care (PHC) level.</p>
<p>Results indicate that the following are contributing factors of perinatal mortality: cultural beliefs, delayed antenatal referrals, delayed intrapartum referral, lack of transport, poor use of partogram. This factor contributes to the following causes of perinatal mortality: Intrauterine deaths (39%), severe Pre-eclampsia (7%), Antepartum haemorrage (15%), Pregnancy induced hypertension (13%), Hypoxia (11%), Prematurity (7%).</p>
<p>Based on the findings, we established a multi-disciplinary team and implemented an in-service training on Essential Steps in Management of Obstetric Emergencies (ESMOE), weekly unit perinatal discussions of mortality cases, and engaged PHC staff in monthly and quarterly prenatal reviews. We also established an open admission area for screening patients.</p>
<p>We recommend that patient records are reviewed before they are sent for filing, conduct quarterly audit of patient’s record, all clients to be linked to Community Health Workers before discharge to strengthen the referral system and to ensure continuity of care during the postnatal period. This will enable the community health workers early and to refer the patients to the hospital for further investigation and management before complications arise.</p>
<p>The impact on mothers, the community an on my leadership journey will be highlighted in the poster.</p> | en |
dc.description.sponsorship | Johnson & Johnson | en |
dc.format | Text-based Document | en |
dc.language.iso | en | en |
dc.subject | Maternal Child Nursing | en |
dc.subject | Perinatal Deaths | en |
dc.title | Contributory factors towards perinatal and infant mortality in Jubilee Hospital | en |
dc.type | Poster | en |
dc.rights.holder | <p>
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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
</p> | en |
dc.type.category | Full-text | en |
dc.evidence.level | Quality Improvement | en |
dc.research.approach | Translational Research/Evidence-based Practice | en |
dc.subject.cinahl | Perinatal Death | en |
dc.subject.cinahl | Perinatal Death--Prevention and Control | en |
dc.subject.cinahl | Perinatal Death--Risk Factors | en |
dc.subject.cinahl | Perinatal Death--South Africa | en |
dc.subject.cinahl | Perinatal Death--Nursing | en |
dc.subject.cinahl | Leadership | en |
dc.subject.cinahl | Maternal-Child Health | en |
dc.subject.cinahl | Maternal-Child Health--South Africa | en |
dc.subject.cinahl | Maternal-Child Nursing | en |
dc.subject.cinahl | Maternal-Child Nursing--South Africa | en |
dc.contributor.department | Non-member | en |
dc.author.details | Caroline Manamela, Bcur; Sharon Ngomane, Mcur; Roinah Ngunyulu, PhD | en |
dc.conference.name | Tau Lambda Conference 2015 | en |
dc.conference.host | Tau Lambda Chapter of Sigma Theta Tau International Honor Society of Nursing | en |
dc.conference.location | Sunnyside Park Hotel, Johannesburg, South Africa | en |
dc.date.conferenceyear | 2015 | en |
dc.description.reviewtype | Faculty/Mentor Approved: Sigma Academy Participant Presentation | en |
dc.description.acquisition | Proxy-submission | en |