Background: Poor infection control practices during childbirth are recognized as a critical factor leading to maternal and neonatal morbidity and mortality. Therefore, this study intends to assess the effectiveness of safe delivery and surgical kits supplied by Government of Andhra Pradesh to ensure a safe birthing environment. This study shows impact of safe delivery and surgical kits supplied by the Government of Andhra Pradesh on maternal and neonatal morbidity and mortality. However, the current evidence is limited and further studies are required.
Materials and Methods: It was a retrospective observational study done at a tertiary care hospital attached to medical college admitting patients from all over the district. On an average, 3500 women deliver every year at our institute. This study is conducted on 200 Pregnant women with period of gestation above 37 weeks, giving normal vaginal birth at GGH SRIKAKULAM and Health personnel using safe delivery and surgical kits were included regardless of women’s obstetric or medical complications, parity, education or socio-economic status.
Study Period: JULY 1ST 2021 TO AUGUST 31ST 2021
Results: This study proved that universal and uniform usage of safe sterile practices during intrapartum care by health care professionals reduced maternal post partum sepsis, duration of hospital stay and improved patients and health care person satisfaction scores. Similarly the neonatal sepsis rates and admission to NICU was also almost nil in those cases delivered using the safe delivery kits. Usage of safe delivery and surgical kits appears to be a promising strategy to achieve the country targets of SGD reducing maternal and neonatal morbidity and mortality.
Conclusion: All health care delivery points of intrapartum maternity care should practice safe birthing techniques and use the kits supplied to achieve zero sepsis for both mother and neonate.