Mother-friendly hospital: a checklist for assessment.
This is a list of recommendations for obstetric hospitals. Emergency care guidelines are as follows: 1) obstetric emergencies should be given priority; 2) admission should be simple, rapid, and welcoming; 3) facilities for surgery and transfusion should be available 24 hours/day; 4) medications and operative interventions should be used in accordance with established norms and indicators; and 5) all maternal deaths should be audited and reported. Antenatal care guidelines are as follows: 1) prenatal checkups that include tetanus immunization and iron/folate supplementation should be available daily; 2) women should receive information on early recognition of complications; 3) staff should avoid punitive or judgmental attitudes, especially in regard to abortion complications; 4) staff should be welcoming to those accompanying the women; and 5) staff should explain procedures to women and their families. Delivery care guidelines are as follows: 1) husbands, partners, and others should be allowed to stay during labor, if the mother wishes it; 2) strict standards of clean delivery should be maintained; 3) immediate mother/baby contact and breast feeding should be encouraged; 4) care providers should be polite and considerate; 5) staff should explain the process of labor and delivery; 6) staff should listen and respond to women's concerns; 7) flexibility should be used in the choice of labor routine and of birthing position; 8) harmless traditional practices should be respected and encouraged; 9) women should have privacy, if they wish; and 10) unnecessary medical routines/interventions should be avoided (episiotomy, shaving, enemas). Postpartum care guidelines are as follows: 1) babies should be kept in close contact with their mothers (rooming in), and feeding on demand should be encouraged; 2) mothers and families should be advised about nutrition and rest after delivery; 3) appropriate newborn care should be available, including resuscitation; 4) families should be encouraged to visit and to celebrate the baby's birth; and 5) mothers should receive health education and advice when leaving the hospital. Contraceptive services should include counseling for all postpartum and post-abortion cases before their leaving the hospital, family planning information and services available to all mothers throughout their stay, and information and services for men (provided by men, if necessary).
Version: za2963e q8za2 q8zba q8zce q8zd1 q8ze2 q8zf7 q8zg6