The Transformation of Care is always on the agenda of healthcare organizations and also public health institutions all over. Good quality care means the Transformation of Care in ways of increasing health, having effective public health and having favorable outcome measures. One area of healthcare and outcome measures that needs constant focus and improvement is reducing pregnancy complications and mortality rate for both mothers and infant. This is, in fact, a public health issue in many countries and is constantly being worked on for improvement and better outcomes.
Care During Pregnancy
Public health organizations like The World Health Organization recommends that pregnant women should see her physician or health provider at least 8 times during her pregnancy. This will help with the early detection and management of any potential problems with the pregnancy that could have negative outcomes. This hospital prenatal visits should also include the education of expecting mothers on how they can properly stay healthy during their pregnancy by practicing proper dieting, leading healthy lifestyles and other positive health behaviors.
When a newborn enters this world, they should be cared for properly by ensuring that they receive the proper skin to skin contact with their mom, they should be monitored to see that they can breastfeed properly, they should be given all the proper vaccines, their temperature should be monitored, their body functions should be checked and it should be ensured that they have a good cry in order to clear out their lungs.
Newborn babies should also be completely assessed before they are discharged and should be brought in for further postnatal check-ups. Unfortunately, there are some newborns that are born ill or born prematurely. These babies should be properly cared for in the hospital and should be completely healed before they are discharged. The babies should be properly fed and kept warm and comfortable as they are in the hospital. The babies should be closely monitored by hospitals staff that have been properly trained for this purpose.
Hospital and Patient Hygiene
All patients must be taught on how to have proper hygiene while the hospital especially when they will be handling a newborn baby who has a weak and still developing immune system. Taking proper care will prevent babies from having hospital-acquired infections. Hospital-acquired infections the chance of disease or even death in a baby and at best it increases the length of stay in the hospital for both parent and child.
Thus, patients and hospital staff should constantly wash their hands, use hand sanitizers and all instruments should be properly sterilized and disinfected before and after use. The room and bed where the newborn is kept must also be kept clean at all times. Proper hygiene and sanitation also include the environment. The healthcare facility must have proper sanitation, energy source, and privacy.
The facility must have electricity at all times and should never run out of medication or other tools needed for newborn care and treatment. The physical environment must be kept at optimal conditions at all times.
Proper Patient Engagement
Patients must be properly engaged in order to improve their quality of care and there is no exception to this with expecting and new mothers. When there is proper communication between care provider and patients, there is less anxiety about their condition and mothers actually feel more relaxed before birth. This can reduce anxiety and ensure that childbirth is a positive experience for both mother and child. Hospitals should have structures in place that ensures mothers are well informed on the process leading up to delivery and what happens after. No patient should be left unsure and wondering about their treatment or what is expected of them. They should be part of the process step by step.
Proper Medical Records
All patients (both mother and child) should have the appropriate medical records that should be kept up to date and accurate at all times. All babies should receive a birth certificate and all care being provided should be recorded properly. The minute a baby is born every care, test, vaccination, medication, gestational age, birth weight and examination finding etc should be properly recorded.
This complete and accurate medical recording is important for documenting care and for any clinical follow-up for both mother and child. These records should not only be kept but should be properly linked between mother and child. It is important to train staff and hospital employees on how to keep proper records and avoid mix-ups or errors.
Harmful Practices Should be Avoided
Though different people have their beliefs and different societies have ways of doing things, there are some practices that are harmful to either the mother or the baby and these practices should be avoided. Practices like keeping babies away from their mother, discouraging breastfeeding, giving mother enemas etc are discouraged against and greatly frowned upon.
All mothers and babies should be given the proper care and illegal activities or mistreatment or mothers should be avoided in the hospital. No woman should be subjected to harmful practices during , childbirth, and also after birth.