Related Experiment Video
Updated: Aug 1, 2025
11:50
Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
26.6K
Management of preterm birth using protocols in a low resource setting.
Jackline Akello1,2, Fatuma Namusoke1,2, Godfrey Alia2
1Department of Obstetrics and Gynecology, College of Health Sciences, Makerere University, Kampala, Uganda.
Plos One
|April 25, 2023
Summary
Standardized care protocols significantly improved preterm birth management, increasing key interventions like Dexamethasone and Magnesium Sulphate administration. This approach optimizes outcomes for preterm deliveries.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Public Health
Background:
- Preterm birth is a leading cause of neonatal mortality and a significant contributor to under-five mortality.
- Effective management strategies are crucial to improve outcomes for preterm infants.
Purpose of the Study:
- To enhance preterm birth management through the development and implementation of standardized care protocols.
- To assess the impact of standardized protocols on the quality of care for preterm deliveries.
Main Methods:
- A two-phase study conducted in a national referral labor ward.
- Review of 360 case files and interviews with mothers for data clarification (baseline and re-audit).
- Statistical comparison using Chi-square tests to evaluate changes in care parameters.
Main Results:
- Significant improvements observed in 4 out of 6 quality of care parameters.
- Increased administration of Dexamethasone (32%) for fetal lung maturity and Magnesium Sulphate (27%) for neuroprotection.
- Enhanced antibiotic administration (23%) and a reduction in non-intervention cases (14%).
Conclusions:
- Standardized care protocols effectively improve the quality of care in preterm deliveries.
- Implementation of protocols leads to better standardization and optimization of patient outcomes.
- Further research may explore sustained impact and broader applicability of these protocols.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
3.4K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.4K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
604
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
604
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
44
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
44
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:28Pneumonia IV: Management
405
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
405