Availability and quality of emergency obstetric care in Shanxi Province, China

Gao, Yu and Barclay, Lesley (2010) Availability and quality of emergency obstetric care in Shanxi Province, China. International Journal of Gynecology and Obstetrics, 110 2: 181-185. doi:10.1016/j.ijgo.2010.05.001


Author Gao, Yu
Barclay, Lesley
Title Availability and quality of emergency obstetric care in Shanxi Province, China
Journal name International Journal of Gynecology and Obstetrics   Check publisher's open access policy
ISSN 0020-7292
1879-3479
Publication date 2010-08-01
Sub-type Article (original research)
DOI 10.1016/j.ijgo.2010.05.001
Open Access Status Not Open Access
Volume 110
Issue 2
Start page 181
End page 185
Total pages 5
Place of publication Shannon, Clare Ireland
Publisher Elsevier Ireland
Language eng
Formatted abstract
Objective

To investigate the availability and quality of emergency obstetric care (EmOC) received by women in a rural Chinese province.

Methods

The study was conducted in 7 rural counties and townships in Shanxi Province, China. Data sources included interviews with 7 hospital leaders, 5 maternal and child health workers, and 7 obstetricians; 118 records of complicated delivery were audited, 21 Maternal and Child Health Annual Reports analyzed, and observations conducted of facilities and advanced labor care.

Results

The number of comprehensive EmOC facilities was adequate in all counties. Three counties had fewer basic EmOC facilities than recommended and only 4 counties reached the recommended level. Most of the existing township hospitals did not provide birthing services. All the county hospitals could perform cesarean deliveries with rates from 6.8%–40.8%. The management of complications was not evidence-based. For example, women with pre-eclampsia and eclampsia were given too little magnesium sulfate; women were not closely monitored for hemorrhage after birth and the partograph was used incorrectly with consequences for obstructed labor.

Conclusion

Basic EmOC facilities are not adequate and township hospitals should be upgraded to provide birthing services. The quality of EmOC is poor and needs improvement.
Keyword China
Emergency obstetric care
Rural health
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 17 Dec 2015, 20:26:49 EST by Yu Gao on behalf of School of Nursing, Midwifery and Social Work