Care of Labour by Trained Midwife and Effect on Maternal Outcome in a Hospital Based Labour Ward

Abstract

Midwifery service quality affects delivery outcomes the most. The aim of the study was to analyze the maternal outcome of pregnancies managed by the midwives and various factors which can affect the incidence of adverse maternal outcomes.

Methodology: This retrospective study at DHQ Hospital MishtiMela Orakzai studied the district's rural midwife-led maternity healthcare system from July 2019 till June 2020. All midwives' cases were recorded and analyzed to establish the frequency of various maternal outcomes. All rural pregnant patients between 15 and 45 who presented to the government facility midwife at any stage of labor were recorded and maternal outcome and related factors were gathered. The aim of the study was to analyze the maternal outcome of pregnancies managed by the midwives and various factors which can affect the incidence of adverse maternal outcomes. Results: In our study, mean age of the patients was 27 SD 5.9 years (from 15 to 45) with gestational age of the patients from 14 to 42 weeks (mean 37.3 SD 2.5 weeks). Among the total 635 cases, 54% of the cases were of the age group 20 to 29 years. Around 19% of the cases in the labor room landed were preterm (<37 weeks of gestation), and 78% of the patients were multigravida. Incidence of LSCS in mid-wife managed pregnancies was 4.1% (26 of 635 cases), and successful vaginal deliveries were carried out in 92.9% cases (590 of 635).

Conclusion:  Researchers are hopeful that the findings will serve as a solid basis for further research and help them better understand how midwives and expectant mothers communicate and how to strengthen the relationship. These findings can be implemented as the basis for future courses in midwifery education. Efforts should be made to evaluate these educational programmes and their outcomes in the delivery room.

Keywords: Mid-wife, LSCS, SVD, Vaginal delivery, Maternal Outcome