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Effectiveness of Lifesaving Skills Training and Improving Institutional Emergency Obstetric Care Readiness in Lam Dong, Vietnam
Author(s) -
Sloan Nancy L.,
Ngoc Nguyen Thi Nhu,
Hieu Do Trong,
Quimby Charlotte,
Winikoff Beverly,
Fassihian Goli
Publication year - 2005
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1016/j.jmwh.2004.08.018
Subject(s) - intervention (counseling) , medicine , developing country , training (meteorology) , medical emergency , life saving , family medicine , nursing , economic growth , meteorology , economics , physics
Essential obstetric care is promoted as the prime strategy to save women's lives in developing countries. We measured the effect of improving lifesaving skills (LSS) capacity in Vietnam, a country in which most women deliver in health facilities. A quasi‐experimental study was implemented to assess the impact of LSS training and readiness (availability of essential obstetric equipment, supplies, and medication) on the diagnosis of life‐threatening obstetric conditions and appropriate management of labor and birth. The intervention (LSS training and readiness) was provided to all clinics and hospitals from 1 of 3 demographically similar districts in southcentral Vietnam, to hospitals only in another district, with the third district serving as the comparison group. Detection of life‐threatening obstetric conditions increased in both experimental clinics and hospitals, but the intervention only improved the management of these conditions in hospitals. Management of life‐threatening obstetric conditions is most effective in hospitals. The intervention did not clearly benefit women delivering in clinics.