What Is Maternity Quality Care?
Standards for Maternity Care
The framework is endorsed by the Royal College of Midwives. The Standards for Maternity Care were published by the RCOG. The framework and standards should be used by multi-disciplinary teams to ensure their contributions meet the needs of women, their babies and their families, regardless of medical or obstetric problems.
The California Maternal Quality Care Collaborative
The California Maternal Quality Care Collaborative is committed to ending preventable morbidity, mortality and racial disparity in California maternity care. CMQCC uses research, quality improvement toolkits, state-wide outreach collaboratives and its innovative Maternal Data Center to improve health outcomes for mothers and infants.
The impact of gender inequalities and social barriers on quality midwifery care: a case study
Quality midwifery care can be hard to find in LMICs due to significant social and cultural barriers. The overlaps between the barriers are shown to be the result of gender inequality in the framework. Links are made between burn out and moral distress because of the barriers and poor quality care.
The barriers from the provider perspective and the underlying gender inequality need to be addressed. All eligible items that discussed barriers to the provision of quality care were considered, including published and unpublished material, whether in print or online. The aim is to describe the literature available for the question, so items were not assessed for quality or excluded based upon study design.
The classification of barriers as social, economic and professional did not affect the inclusion of articles during the screening process. Poor quality training can impact on the ability of midwives in Afghanistan, as doctors ridicule their ability. The strength of the medical hierarchy caused the midwifery personnel to defer clinical decision making to inexperienced junior doctors, yet they were expected to manage care without resources at night.
The literature shows how lack of investment in training prevents quality care. Poor working conditions and insufficient basic resources can affect the quality of care. The midwives in Uganda said that using mobile phones in their mouths was a light at births because the electricity had been cut off.
Quality of care: a multi-faceted perspective
There is no universally accepted definition of quality of care. Quality is a multi-faceted nature. Quality of care is described in the literature from the perspective of health care providers, managers and patients, as well as the dimensions within the health care system, using elements such as safety, effectiveness, patient-centeredness, timeliness, equity and efficiency. The model of quality of maternal and newborn health care can be used as a basis for developing quality improvement strategies and activities, and incorporating quality into existing programmes.
Maternal near miss: a new approach to assess maternal health
Maternal near miss is an alternative to investigate maternal deaths as they are similar to maternal deaths and have severe maternal outcomes. The number of maternal near-miss cases is more important than the number of maternal deaths, as they give useful information the quality of health-care at all levels. There is a need for the assessment of maternal health and the quality of maternal care to be done using the maternal near-miss concept.