Simbar M¹ * (PhD, MHPEd), Minooee S¹ (MSc), Sheikhan Z¹ (MSc), Majd HA² (PhD)

  ¹ Department of Midwifery and Reproductive Health, School of Nursing and Midwifery,

  Shahid Beheshti University of Medical Sciences, Tehran, Iran

  ² Department of Bio- Statistics, School of Allied Medical Sciences,

  Shahid Beheshti University of Medical Sciences, Tehran, Iran

  Received: 8 Jul 2012, Accepted: 14 Mar 2013

  Abstract

  Introduction: Delivery, as a phenomenon leading to childbirth, is an inseparable part of human life and has an ascending trend worldwide. By medical developments, human beings have always endeavored to improve the quality of delivery processes. Annually, approximately 600000 women die from pregnancy and childbirth complications from which more than 99 percent occur in developing countries. The quality of midwifery care influences birth results and functions of health care providers in labor. Birth has considerable effect on physical and emotional health of mother and child. The present study aimed to assess the rate of implementation of " The national guide of labor and delivery cares " and its related factors in selected educational- therapeutic hospitals in Tehran, 2011.

  Methods: In this descriptive study, using quota sampling, the function of 40 health care providers regarding 200 pregnant women who were admitted for normal vaginal delivery was evaluated. The tools for data collection included a demographic sheet, an observational checklist and three questionnaires. Content validity was assessed beforehand. Reliability of the observational care checklist and questionnaires were assessed using concurrence observation method (r=0.93) and test re-test method (r= 0.9). Data were analyzed in the SPSS version 17.

  Results: The followings show the compatibility of the performances of the care providers with the national labor and delivery guide: history taking 88.3%, vital sign control 64.6%, Leopold maneuver 38.5, initial assessment 83.4%, caring measures during labor pain 22.5%, pain relief methods 63.5%, labor progress 71.5%, vaginal delivery 89.5%, and postpartum management 89.5%. The knowledge score of 57.7 percent of care providers was leveled as medium and 10 percent of them had negative attitudes towards the national care guideline. There was statistical difference between knowledge with attitude scores (P= 0.001) and between knowledge score with the rate of care implementation (P= 0.03).

  Conclusion: R esults showed that the rate of implementation of labor and delivery care in several assessment criteria was not desirable. Improvement in quality of cares and supervision on performance of health care providers are recommended.

  Key words: implementation, care, labor, delivery

  Please cite this article as follows:

 Simbar M, Minooee S, Sheikhan Z, Majd HA. Implementation of ″The National Guide of labor and Delivery Cares″ and Related Factors in Selected Educational- Therapeutic Hospitals of Tehran. Hakim Research Journal 2013 16(1): 58- 64.

  * Corresponding Author: Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tel: +98- 21- 8888202516, Fax: +98- 21- 88202516,
E-mail: msimbar@yahoo.com