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Developing evidence-based maternity care in Iran: a quality improvement study
BACKGROUND: Current Iranian perinatal statistics indicate that maternity care continues to need improvement. In response, we implemented a multi-faceted intervention to improve the quality of maternity care at an Iranian Social Security Hospital. Using a before-and-after design our aim was to improv...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2443790/ https://www.ncbi.nlm.nih.gov/pubmed/18554384 http://dx.doi.org/10.1186/1471-2393-8-20 |
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author | Aghlmand, Siamak Akbari, Feizollah Lameei, Aboulfath Mohammad, Kazem Small, Rhonda Arab, Mohammad |
author_facet | Aghlmand, Siamak Akbari, Feizollah Lameei, Aboulfath Mohammad, Kazem Small, Rhonda Arab, Mohammad |
author_sort | Aghlmand, Siamak |
collection | PubMed |
description | BACKGROUND: Current Iranian perinatal statistics indicate that maternity care continues to need improvement. In response, we implemented a multi-faceted intervention to improve the quality of maternity care at an Iranian Social Security Hospital. Using a before-and-after design our aim was to improve the uptake of selected evidence based practices and more closely attend to identified women's needs and preferences. METHODS: The major steps of the study were to (1) identify women's needs, values and preferences via interviews, (2) select through a process of professional consensus the top evidence-based clinical recommendations requiring local implementation (3) redesign care based on the selected evidence-based recommendations and women's views, and (4) implement the new care model. We measured the impact of the new care model on maternal satisfaction and caesarean birth rates utilising maternal surveys and medical record audit before and after implementation of the new care model. RESULTS: Twenty women's needs and requirements as well as ten evidence-based clinical recommendations were selected as a basis for improving care. Following the introduction of the new model of care, women's satisfaction levels improved significantly on 16 of 20 items (p < 0.0001) compared with baseline. Seventy-eight percent of studied women experienced care consistent with the new model and fewer women had a caesarean birth (30% compared with 42% previously). CONCLUSION: The introduction of a quality improvement care model improved compliance with evidence-based guidelines and was associated with an improvement in women's satisfaction levels and a reduction in rates of caesarean birth. |
format | Text |
id | pubmed-2443790 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-24437902008-07-08 Developing evidence-based maternity care in Iran: a quality improvement study Aghlmand, Siamak Akbari, Feizollah Lameei, Aboulfath Mohammad, Kazem Small, Rhonda Arab, Mohammad BMC Pregnancy Childbirth Research Article BACKGROUND: Current Iranian perinatal statistics indicate that maternity care continues to need improvement. In response, we implemented a multi-faceted intervention to improve the quality of maternity care at an Iranian Social Security Hospital. Using a before-and-after design our aim was to improve the uptake of selected evidence based practices and more closely attend to identified women's needs and preferences. METHODS: The major steps of the study were to (1) identify women's needs, values and preferences via interviews, (2) select through a process of professional consensus the top evidence-based clinical recommendations requiring local implementation (3) redesign care based on the selected evidence-based recommendations and women's views, and (4) implement the new care model. We measured the impact of the new care model on maternal satisfaction and caesarean birth rates utilising maternal surveys and medical record audit before and after implementation of the new care model. RESULTS: Twenty women's needs and requirements as well as ten evidence-based clinical recommendations were selected as a basis for improving care. Following the introduction of the new model of care, women's satisfaction levels improved significantly on 16 of 20 items (p < 0.0001) compared with baseline. Seventy-eight percent of studied women experienced care consistent with the new model and fewer women had a caesarean birth (30% compared with 42% previously). CONCLUSION: The introduction of a quality improvement care model improved compliance with evidence-based guidelines and was associated with an improvement in women's satisfaction levels and a reduction in rates of caesarean birth. BioMed Central 2008-06-13 /pmc/articles/PMC2443790/ /pubmed/18554384 http://dx.doi.org/10.1186/1471-2393-8-20 Text en Copyright © 2008 Aghlmand et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Aghlmand, Siamak Akbari, Feizollah Lameei, Aboulfath Mohammad, Kazem Small, Rhonda Arab, Mohammad Developing evidence-based maternity care in Iran: a quality improvement study |
title | Developing evidence-based maternity care in Iran: a quality improvement study |
title_full | Developing evidence-based maternity care in Iran: a quality improvement study |
title_fullStr | Developing evidence-based maternity care in Iran: a quality improvement study |
title_full_unstemmed | Developing evidence-based maternity care in Iran: a quality improvement study |
title_short | Developing evidence-based maternity care in Iran: a quality improvement study |
title_sort | developing evidence-based maternity care in iran: a quality improvement study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2443790/ https://www.ncbi.nlm.nih.gov/pubmed/18554384 http://dx.doi.org/10.1186/1471-2393-8-20 |
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