Utilization of the Feto-Maternal triage Program in Maternity Hospitals Of Baghdad City

Abstract

Objectives:   To evaluate the impact of fate-maternal triage program upon laboring women's outcomes.

Methods: Quazi- experimental design was conducted upon laboring women seeking  for care in Baghdad hospitals The study was conducted At Baghdad hospitals, which in both sides Al-Kargh (13 hospital) and Al-Resafa(23 hospital). The sample of the study consist of 280 laboring women, 140 women for each control and study group who are attending to the labor room in selected hospitals. Questionnaire format conducted as a flow sheet. It is designed and developed by the researcher depending on the feto-maternal triage index of AWHONN'S and Manchester triage system with some modification done by a researcher.

 Results:the mean age for both groups is 29.85 ± 8.64. More than a quarter of participants in the study group are within the age group of (21-25) years-old (n = 40; 28.6%), followed by those who are in the age group of (31-35) years-old (n = 36; 25.7%). For the control group, more than a third are in the age group of (21-25) years-old (n = 47; 33.6%), followed by those who are in the (31-35) years-old (n = 33; 23.6%).Concerning participants’ BMI, more than two-fifths in the study group are overweight (n = 61; 43.6%),for the control group, more than two-fifths in the study group are overweight (n = 61; 43.6%).More than a third of participants in the study group reported that the waiting time is (10-20) minutes and (21-30) minutes (n = 53; 37.9%) for each of them,For the control group, more than two-fifths reported that the waiting time is (31-60) minutes (n = 58; 41.4%).The mean waiting time for the control group is greater than that of the study group (1.68, 1.32) respectively. also more than a third of participants in the study group reported that the severity of cases are very urgent and emergency cases (n = 44; 31.4%), (n=23; 16.4%) respectively for each of them. For the control group, more than half of participants reported that the severity of case is very urgent and emergency cases (n = 44; 33.6 %),(n=20;14.3) respectively.There is a statistically significant difference in the mothers’ complications between the study and the control groups (χ2 = 13.755, df = 1, p-value = .000). This indicates a positive influence of the program in reducing the mother's complications.

Conclusion: The study shows that the positive influence of the program in triage the cases according to its severity and according to the levels used in the triage.