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dc.contributor.authorManamela, Carolineen
dc.contributor.authorNgomane, Sharonen
dc.contributor.authorNgunyulu, Roinahen
dc.date.accessioned2017-02-09T16:20:43Z
dc.date.available2017-02-09T16:20:43Z
dc.date.issued2017-02-09
dc.identifier.urihttp://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&rsquo;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.&nbsp; 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&rsquo;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.sponsorshipJohnson & Johnsonen
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectMaternal Child Nursingen
dc.subjectPerinatal Deathsen
dc.titleContributory factors towards perinatal and infant mortality in Jubilee Hospitalen
dc.typePosteren
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> 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.categoryFull-texten
dc.evidence.levelQuality Improvementen
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlPerinatal Deathen
dc.subject.cinahlPerinatal Death--Prevention and Controlen
dc.subject.cinahlPerinatal Death--Risk Factorsen
dc.subject.cinahlPerinatal Death--South Africaen
dc.subject.cinahlPerinatal Death--Nursingen
dc.subject.cinahlLeadershipen
dc.subject.cinahlMaternal-Child Healthen
dc.subject.cinahlMaternal-Child Health--South Africaen
dc.subject.cinahlMaternal-Child Nursingen
dc.subject.cinahlMaternal-Child Nursing--South Africaen
dc.contributor.departmentNon-memberen
dc.author.detailsCaroline Manamela, Bcur; Sharon Ngomane, Mcur; Roinah Ngunyulu, PhDen
dc.conference.nameTau Lambda Conference 2015en
dc.conference.hostTau Lambda Chapter of Sigma Theta Tau International Honor Society of Nursingen
dc.conference.locationSunnyside Park Hotel, Johannesburg, South Africaen
dc.date.conferenceyear2015en
dc.description.reviewtypeFaculty/Mentor Approved: Sigma Academy Participant Presentationen
dc.description.acquisitionProxy-submissionen


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