A Development of Maternity Care System in COVID-19 Situation at Buriram Hospital

Abstract

Background: During Covid19 pandemic, the Delivery Room Unit at Buriram Hospital has found that the number of pregnant women in intrapartum period having Covid 19or at high risk of getting Covid 19 infection is higher than the number of beds in the negative pressure rooms. Limitations of the facility and ventilation system, unavailability of equipment and unclear practice guidelines result in the personnel getting Covid19 infection from works and an increased risk of Covid-19 transmission in the delivery room.
Objectives: 1) To develop intrapartum care system during Covid-19 pandemic
2) To study the results of intrapartum care system development, including infection of the unit’s personnel and Covid-19 transmission in the delivery room
3) To compare the results of intrapartum care system management by service providers before and after the development
4) To measure the personnel’s satisfaction with the intrapartum care system during Covid-19 pandemic
Methodology: This action research commenced on 10 September 2022 and ended on 31 October 2022, consisting of four steps, namely 1)a study and analysis of the problem; 2) care system development; 3) implementation; and 4) assessment. Research participants included 32 personnel working in the delivery room and 905 pregnant women in intrapartum period. Research tools comprised personal data form, action form and satisfaction survey form. Statistics used for in-depth analysis of quantitative data were percentage, mean, standard deviation, and paired t-test.
Results: 1. There was an intrapartum care system during Covid-19 pandemic consisting of: 1) practice guidelines according to the care process from checking in to discharge from the delivery room; 2) practice guidelines for service providers; 3) practice guidelines for service recipients; 4) environmental, health and safety guidelines. 2. As a result of the system development, no Covid-19 infection was not found among the personnel and there was no Covid-19 transmission in the delivery room. 3. After the
system development, there were more practice guidelines established. 4. Personnel’s satisfaction was at the highest level (Mean=4.5,SD=0.8)
Conclusion: Intrapartum care system during Covid-19 pandemic made the work become more effective.