A Study on Evaluation of Laqshay in Andaman

Authors

  • Vivin Vincent Associate Professor, Department of Community Medicine, ANIMS, Port Blair.
  • MK Saha Professor, Department of Obstetrics and Gynaecology, ANIMS, Port Blair.

Keywords:

Babies, Laqshay, Maternity

Abstract

Background: Respectful maternity care plays a major role in maintaining wellbeing of the mother and newborn, and ensures positive cognitive and emotional development of the babies later in life.


Objectives: Aim and objective of the study states to evaluate the implementation of respectful maternity Care and to evaluate the implementation of new born care guidelines in laqshay.


Materials and Methods: A cross sectional study was designed to meet the objectives on this study between January to April 2019 using a structured questionnaire.


Result: 95% of study population were not allowed to walk or change position during labour. Around 56.7% reported that direct pushing was done. Only 22% of mothers were allowed to choose their position of comfort. None were allowed to have a birth companion and all mothers were ensured privacy during labour.


Conclusion: Repeated counselling/ reinforcement to the staff members and surprise frequent visits by authorities concerned to the labour room will still improve the respectful maternal care.

References

Labour room quality improvement initiative. National Health Mission. 2017. Cited 2019 June 23.

Available from: http://nhsrcindia.org/sites/default/files/LaQshya-%20Labour%20Room%20Quality%20

Improvement%20Initiative%20Guideline.pdf.

Respectful Maternity Care: The Universal rights of childbearing women. The White ribbon alliance. Cited

June 19. Available from: https://www.who.int/woman_child_accountability/ierg/reports/2012_01S_

Respectful_Maternity_Care_Charter_The_Universal_Rights_of_Childbearing_Women.pdf.

WHO recommendation on respectful maternity care during labour and childbirth. 2018. Cited 2019 June

Available from https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartumcare/

care-during-childbirth/who-recommendationrespectful-maternity-care-during-labour-andchildbirth.

Respectful maternity care needs to be the standard for all women worldwide. Making childbirth a positive

experience: New WHO guideline on intrapartum care. Cited 2019 June 19. Available from: https://www.who.

int/reproductivehealth/intrapartum-care/en/.

Gupta JK, Hofmeyr GJ, Shehmar M. Position in the second stage of labour for women without epidural

anaesthesia. The Cochrane Database of Systematic Reviews 2012; 5: CD002006.

Gizzo S, Di Gangi S, Noventa M et al. Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy. BioMed Research International 2014, Article ID 638093, 7.

de Jonge A, Rijnders ME, van Diem MT et al. Are there inequalities in choice of birthing position?

Sociodemographic and labour factors associated with the supine position during the second stage of labour.

Midwifery 2009; 25(4): 439-448.8. WHO recommendation on method of pushing. 2018. Cited 2019 June 19. Available from: https://extranet.who.int/rhl/topics/preconception-pregnancychildbirth-and-postpartum-care/care-during-childbirth/care-during-labour-2nd-stage/who-recommendationmethod-pushing.

Why having a companion during labour and childbirth may be better for you. 2019. Cited 2019 June 19. Available from: https://www.who.int/reproductivehealth/companion-during-labour-childbirth/en/.

WHO recommendation on companionship during labour and childbirth. 2018. Cited 2019 June 19.

Available from: https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartumcare/

care-during-childbirth/who-recommendationcompanionship-during-labour-and-childbirth.

Early initiation of breastfeeding to promote exclusive breastfeeding, WHO. Cited 2019 June 19. Available

from: https://www.who.int/elena/titles/early_breastfeeding/en/.

Capture the moment - Early initiation of breastfeeding: the best start for every newborn World Health

Organization, UNICEF. Cited 2019 June 19. Available from: https://www.unicef.org/publications/files/

UNICEF_WHO_Capture_the_moment_EIBF_2018.pdf.

WHO recommendation on digital vaginal examination at intervals of four hours for routine assessment of active first stage of labour in low-risk women. 2015. Cited 2019 June 19. Available from: https://extranet.who.

int/rhl/topics/preconception-pregnancy-childbirthand-postpartum-care/who-recommendation-digitalvaginal-

examination-intervals-four-hours-routineassessment-active-first.

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Published

2019-10-11