Attitudes towards the implementation of universal umbilical artery lactate analysis in a South African district hospital

Show simple item record Allanson, Emma R. Grobicki, Kate Pattinson, Robert Clive Dickinson, Jan E. 2016-09-06T09:59:00Z 2016-09-06T09:59:00Z 2016-07-18
dc.description.abstract BACKGROUND : Of the 5.54 million stillbirths and neonatal deaths occurring globally each year, a significant amount of these occur in the setting of inadequate intrapartum care. The introduction of universal umbilical artery lactate (UA) measurements in this setting may improve outcomes by providing an objective measurement of quality of care and stimulating case reflection, audit, and practice change. It is important that consideration is given to the barriers and facilitators to implementing this tool outside of a research setting. METHODS : During the period 16/11/2014 -13/01/2015, we conducted a training course in cardiotocograph (CTG) interpretation, fetal physiology, and the sampling and analysing of UA lactate, with a pre and post questionnaire aimed at assessing the barriers and facilitators to the introduction of universal UA lactate in a district hospital in the Eastern Cape, South Africa. RESULTS : Thirty-five pre-training questionnaires available (overall response rate 95 %) and 22 post training questionnaires (response rate 63 %) were available for analysis. Prior to training, the majority gave positive responses (strongly agree or agree) that measuring UA lactate assists neonatal care, is protective for staff medicolegally, and improves opportunities for audit and teaching of maternity practice (n = 33, 30, 32; 94.4 %, 85.7 %, 91.4 % respectively). Respondents remained positive about the benefits post training. An increased workload on medical or midwifery staff was less likely to be seen as barrier following training (71 vs. 38.9 % positive response, p = 0.038). A higher rate of respondents felt that expense and lack of equipment were likely to be barriers after completing training, although this wasn’t significant. There was a trend towards lack of time and expertise being less likely to be seen as barriers post training. CONCLUSION : The majority of participants providing intrapartum care in this setting are positive about the role of universal UA lactate analysis and the potential benefits it provides. Training aids in overcoming some of the perceived barriers to implementation of universal UA lactate analysis. en_ZA
dc.description.department Obstetrics and Gynaecology en_ZA
dc.description.librarian am2016 en_ZA
dc.description.sponsorship Emma Allanson is a PhD candidate funded by the University of Western Australia with an Australian post-graduate award, and an Athelstan and Amy Saw Medical top-up scholarship, and by the Women and Infants Research Foundation with a Gordon King doctor of philosophy scholarship. en_ZA
dc.description.uri en_ZA
dc.identifier.citation Allanson, ER, Grobicki, K, Pattinson, RC & Dickinson, JE 2016, 'Attitudes towards the implementation of universal umbilical artery lactate analysis in a South African district hospital', BMC Pregnancy and Childbirth, vol. 16, art. #166, pp. 1-6. en_ZA
dc.identifier.issn 1471-2393
dc.identifier.other 10.1186/s12884-016-0968-y
dc.language.iso en en_ZA
dc.publisher BioMed Central en_ZA
dc.rights © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. en_ZA
dc.subject Umbilical artery lactate en_ZA
dc.subject Implementation en_ZA
dc.subject Attitudes en_ZA
dc.subject Training en_ZA
dc.subject South Africa (SA) en_ZA
dc.title Attitudes towards the implementation of universal umbilical artery lactate analysis in a South African district hospital en_ZA
dc.type Article en_ZA

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