Is a safety checklist necessary for vaginal birth?

Cabrera J.O.R.; Valdivia E.; Lara E.R.; Falcón D.C.; Díaz B.M.Z.; Loyola E.V.; Céspedes D.A. · Revista Peruana de Ginecologia y Obstetricia (2024) · DOI: 10.31403/rpgo.v70i2689

Resumen

Introduction: Vaginal to delivery care is a complex, multidisciplinary process that requires institutions that provide safe and efficient surveillance of pregnant women. In obstetric practice, the physician frequently makes critical decisions in a short period of time and adverse events may occur. Within the framework of the WHO World Alliance for Patient Safety whose aim is to reduce risks during the delivery process, the use of safety checklists has been promoted as a strategy to reduce maternal and neonatal death. Objective: To elaborate a Vaginal Birth Safety Checklist (VBSC) to be applied to all pregnant women admitted to San Bartolomé hospital for her delivery care. Methodology: To design a correct sequence of procedures and useful actions to improve the safety of the pregnant woman during her stay, including the periods of dilatation, expulsion and immediate puerperium, using a questionnaire addressed to the different members of the health team involved in the care of both the mother and the newborn. Some questions to the patient are also included. Results: Systematized care is achieved, communication between the care team and the patient is improved, decision-making is favored, risks are identified, and delivery care is standardized. Conclusion: The VBSC is a valuable tool for optimizing safety and quality in vaginal delivery care, the success of which will depend on how it is integrated into clinical practice.

Instituciones: Universidad Nacional Mayor de San Marcos