Assessment of midwives and clinicians adherence to national obstructed labour management protocols at Thyolo District Hospital, Malawi
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Date
2019-03-01
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Abstract
Obstructed labour is a significant cause of maternal and neonatal mortality at Thyolo District Hospital. This study aimed to investigate midwives’ and clinicians’ adherence to obstructed labour management protocols in order to better understand the gaps in providing quality of care. Key results show an adherence rate of 24% to obstructed labour management protocols at Thyolo District Hospital which indicate poor quality of care to obstructed labour women. This study was a descriptive cross-sectional study conducted at Thyolo District Hospital. The study populations were all case files of women with obstructed labour managed from 1st July 2015 to 30th June 2016. Simple random sampling was used to obtain 90 case files of women that experienced obstructed labour. Data was collected using an audit checklist and checklist for structural factors. Data was analyzed using SPSS version 16.0 and results were presented using descriptive and inferential statistics. Ethical clearance was obtained from College of Medicine Research and Ethics Committee (COMREC). Permission to conduct the study was obtained from the District Health Officer, Thyolo District Hospital. Factors that contributed to low adherence were lack of supervision, inadequate resources and lack of performance appraisals. Generally, Midwives and clinicians are not adhering to obstructed labour management protocols at Thyolo Hospital. Supervision, performance appraisal, human and material resources are needed to promote adherence.