Challenge of Continued Maternity Services During Covid Endemic through Improved IPC Practices
Ms. Teresa Hembrom has been working in the District Hospital, Ranchi since 2005 and currently as Assistant Labor Room Incharge. She has been actively involved in providing the maternal health services, and during the COVID19 pandemic as well.
On 15th April 2020 at 9:30 am a 26 year old pregnant woman (Sabina) from a COVID19 hotspot area visited the facility with labor pain. A regular checkup (BP, Pulse, Temperature, FHR) was done as per the guideline along with doctors.
I received a call from swab collection center for 3 patients including Sabina, which alerted us for her COVID status. And now it was my prime responsibility to prevent other staff, environment and other patients at the facility from infection along with conducting the delivery.
I collected PPE kits from the Civil Surgeons Office and helped the staff nurses for donning using the ‘PPE donning & doffing’ video provided by USAID Vriddhi – District Technical Consultant on 13th April’20. We were ready with all the PPE on, Sabina was taken to the isolated delivery room identified for COVID suspects & infected women. Sabina delivered the baby at 1:23pm through normal vaginal delivery and was encouraged to initiate breast feeding as early as possible. After the delivery, we provided her with routine postnatal care. And with the help of the video we did the stepwise doffing of the PPE.
All together 8 staff nurses and 4 sanitation staffs were involved in the process of delivery and till discharge. The mother was discharged on 17th April evening. After discharge the labor room, ward and other areas were sanitized.
USAID Vriddhi project has been supporting the NHM, Jharkhand in orientation and capacity building of staff from all the 24 districts and with focused attention on health facility staff of 19 Aspiration Districts of the project as response to handle COVID 19. The team has been continuously engaged with staff of the health facilities for orientation on the Infection Prevention and Control (IPC) practices through IPC module in the Laqshya Standard Operating Procedures (SOPs) in the LaQshya identified facilities & also using the infection prevention module in the safe delivery app (SDA). Also the guidelines, audio visuals are constantly being shared with the providers. The orientations, audio visual aids and guidelines has improved the knowledge and confidence among the health care workers for in carrying out activities in a changed work environment.