Student Dissertation

Agency : Obstetrics and Gynecology; IPHS (Indian Public Health Standards); Service Delivery Framework.

Objective : To check the standards related to the service delivery framework (Antenatal care, Intranasal care, and Post Natal Care) in a hospital. To find out the number of Normal Deliveries, Mortality, Complications, and Referrals due to lacking services.

Background : Obstetrics and Gynecology services are considered as one of the essential services in a district hospital. Present study for the Assessment of Quality Care in Obstetrics & Gynecology Department was conducted according to Indian Public Health Standards (IPHS) Guidelines at General Hospital (Inputs), Study the Service Delivery Framework i.e. Antenatal care, Intra natal care, Post-natal care services (Process), Analysis of the outcome, and Identification of problems and bottlenecks thus suggesting recommendations for improvement. Various managerial tasks were performed such as analysis of monthly HMIS report, Gap analysis of Bio Medical Waste Management (BMW) and coordinated and organized meetings, etc.

Methodology : A Descriptive Study was conducted in S.S. Hospital Petlad for a period of 3 months from 1st Feb-30th April 2016. As part of the study elements such as infrastructure, equipments, drugs to be present in obstetrics and gynecology department were observed and compared against the IPHS Guidelines.

Findings : Stabilization of patient was not completely done. Referral linkages was little weak. Management of obstructed labor was not properly organized. In house Blood bank was not established. Prevention of RDS was not managed efficiently. Immediate care of LBW newborns were not given to all patients. Vitamin – k for premature babies were not available in sufficient quantity.

Recommendations : Referral Linkages need to be strong. Patient should be stabilized in the ward/casualty before moving to OT. In house Blood bank, should be established as C-Section surgery takes place. Availability of Vitamin – k should be provided in hospital in sufficient quantity. RDS cases being seen in infant so management of RDS should be provided with the help of modern technology. More emphasis should be on management of obstructed labor and immediate care of LBW newborns.