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[It is not so difficult to carry out simple things properly!].
R Pasquini1, C Amadio, E Lombardi Mistura
1Dipartimento Materno Infantile ASL 13 Ascoli Piceno.
Summary
Implementing a new childbirth and postpartum protocol in a mountain hospital since 1996 significantly reduced preterm births and cesarean sections. The initiative also promoted exclusive breastfeeding, with newborns continuing to breastfeed longer post-discharge.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Care
- Public Health Nursing
Context:
- A first-level mountain hospital's nursing unit initiated a novel childbirth and postpartum care protocol in 1996.
- The protocol aimed to enhance the birthing experience, support exclusive breastfeeding, and mitigate delivery-related risks.
Purpose:
- To evaluate the impact of a humanized childbirth and postpartum assistance protocol.
- To assess changes in preterm birth rates, cesarean section rates, and neonatal transferrals.
- To measure the effect on exclusive breastfeeding duration and continuation.
Summary:
- The protocol led to a notable reduction in preterm births (gestational age <36 weeks).
- Cesarean section rates and neonatal transfers to higher-level units decreased.
- Exclusive breastfeeding rates showed progressive growth, with infants breastfeeding longer after discharge.
Impact:
- Improved maternal and neonatal outcomes in a resource-limited setting.
- Successful promotion of extended exclusive breastfeeding practices.
- Demonstrates the effectiveness of protocol-driven care in enhancing perinatal health.