Development spots in communication during the management of the intrapartum period: An interpretive multiple case...

Area of Science:

• Healthcare Management
• Maternal Health
• Neonatal Outcomes

Background:

• Information communication processes (ICP) are vital for healthcare, especially during pregnancy, birth, and motherhood.
• Effective ICP within and between facilities ensures appropriate patient management, particularly during the critical intrapartum period.
• The intrapartum period demands swift responses and accurate information for referrals, with multiple actors increasing the risk of communication breakdowns.

Purpose of the Study:

• To discuss the complexities of information communication processes (ICP) in a developing context.
• To identify factors influencing the management of the intrapartum period due to communication challenges.

Main Methods:

• A multi-method, multiple case study approach was employed, focusing on one case study (A).
• Data collection involved in-depth interviews with skilled birth attendants (SBAs), participant observation, field notes, and document review.
• Thematic analysis and activity analysis were used for data analysis.

Main Results:

• The study identified significant challenges in information and communication that directly influenced the management of the intrapartum period.
• Specific communication barriers were detailed, impacting care delivery and decision-making.

Conclusions:

• The identified challenges represent key development points for improving intrapartum care management.
• Addressing these communication issues is essential for enhancing maternal and neonatal outcomes, reflecting desirable changes from various stakeholder perspectives.