Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe

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dc.contributor.authorNgwenya, Solwayo
dc.date.accessioned2017-09-21T13:50:02Z
dc.date.accessioned2023-06-27T08:51:23Z
dc.date.available2017-09-21T13:50:02Z
dc.date.available2023-06-27T08:51:23Z
dc.date.issued2017-07-06
dc.descriptionJournal Articleen_US
dc.description.abstractBackground: Stillbirths are distressing to the parents and healthcare workers. Globally large numbers of babies are stillborn. A number of strategies have been implemented to try and reduce stillbirths worldwide. The objective of this study was to assess the impact of leadership and accountability changes on reducing full term intrapartum stillbirths. Methods: Leadership and accountability changes were implemented in January 2016. This retrospective cohort study was carried out to assess the impact of the changes on fresh full term intrapartum stillbirths covering the period 6 months prior to the implementation date and 12 months after the implementation date. The changes included leadership and accountability. Fresh full term stillbirths (>37 weeks gestation) occurring during the intrapartum stage of labour were analysed to see if there would be any reduction in numbers after the measures were put in place. Results: There was a reduction in the number of fresh full term intrapartum stillbirths after the introduction of the measures. There was a statistical difference before and after implementation of the changes, 50% vs 0%, P = 0.025. There was a reduction in the time it took to perform an emergency caesarean section from a mean of 30 to 15 min by the end of the study, a 50% reduction. Conclusions: Clear and consistent clinical leadership and accountability can help in the global attempts to reduce stillbirth figures. Simple measures can contribute to improving perinatal outcomes.en_US
dc.identifier.citationNgwenya S. 2017. Reducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe : BMC Research Notes 10 (1)en_US
dc.identifier.issn17560500
dc.identifier.urihttp://196.220.97.103:4000/handle/123456789/802
dc.language.isoenen_US
dc.publisherBioMed Central Ltden_US
dc.subjectFreshen_US
dc.subjectfullen_US
dc.subjecttermen_US
dc.subjectintrapartumen_US
dc.subjectstillbirthsen_US
dc.subjectLeadershipen_US
dc.subjectAccountabilityen_US
dc.subjectPerinatalen_US
dc.subjectoutcomesen_US
dc.subjectLow-resourceen_US
dc.subjectsettingsen_US
dc.subjectMpiloen_US
dc.subjectCentralen_US
dc.subjectHospitalen_US
dc.titleReducing fresh full term intrapartum stillbirths through leadership and accountability in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabween_US
dc.typeArticleen_US
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