Health quality standards evaluation of quality indicators of maternity services

Abstract

Indicators are used by health institutions to monitor the quality of maternity services and to determine the level of quality of care. The aim of this study was to examine the level of meeting the quality indicators of maternity services monitored in a training and research hospital and to analyze the results. This study was planned as a single-centre, retrospective, descriptive study The quality indicators of maternity services monitored by the quality unit of our hospital in 2021-2022 were included in the study. Primary cesarean section rate was 19.4% (2021), 21.3% (2022), cesarean section rate in women giving birth for the first time with low risk was 30.3% (2021), 32.5%, rate of venous thromboembolism prophylaxis after vaginal delivery according to risk level was 83.1% (2021), 92.5% (2022), rate of venous thromboembolism prophylaxis after vaginal delivery according to risk level was 8.9%, (2021), 7.2% (2022), the rate of use of safe birth control list was 12.6% (2021), 19.8% (2022), the rate of mother-infant pairs who had skin-to-skin contact within the first hour after birth was 88.6% (2021), 93.8% (2022), the rate of infants discharged with only breast milk was 85.7% (2021), 88.8% (2022), the rate of postnatal mothers being evaluated for depression risk was 95.7% (2021), 14.7% (2022). It has been determined that the quality indicators monitored within the scope of birth services in our hospital are monitored and necessary improvement activities are carried out in cases where target values aren’t reached. It is thought that indicator management is very important in increasing the quality of care of the complex birth process and preventing complications during the birth process.