Home
Issues
Aim & Scope
Open Access
Editorial Board
Indexing
Supporting Midwifery Associations
Contact us
Manuscript Types
Manuscript Formatting
How to submit
Special publications and Reprints
Authorship & COI
Principles of Transparency Checklist
Publication Ethics and Publication Malpractice Statement
CONFERENCE PROCEEDING
Breaking the surgical team hierarchies by midwives through obstetric safe surgery implementation in Nakuru County, Kenya
1
Jhpiego, Health, Nairobi, Kenya
Eur J Midwifery 2026;10(Supplement 1):A174
ABSTRACT
PURPOSE:
Obstetric surgery, especially Caesarean Section (CS), is essential for managing life-threatening complications during childbirth. Ensuring safe obstetric surgical and anesthesia care requires a multidisciplinary approach, and midwives’ involvement throughout the continuum of peripartum care remains underrecognized. The Global Surgery Foundation has funded an Obstetric Safe Surgery (OSS) project in Nakuru County, Kenya, with the aim of assessing and documenting how midwives enhance team-based care in maternity theaters by operationalizing WHO recommendations fundamental to achieving Sustainable Development Goal (SDG) 3: ensuring healthy lives and promoting well-being for all ages.
DISCUSSION:
Effective models of care prioritize respectful maternity services and implement protocols for infection prevention, surgical and anesthesia safety, and postoperative monitoring. The OSS project will be implemented in 5 government facilities. Using purposive sampling, the project will assess and document midwives’ involvement in five key domains. 1) Shared decision-making with clients, birth companions, and multidisciplinary surgical teams; 2) surgical safety checklist (SSC) utilization and adherence; 3) Infection prevention practices (pre-operative antibiotic administration, vaginal cleansing, and abdominal skin preparation), 4) 4)Newborn practices(delayed cord clamping, immediate skin-to-skin contact, and early initiation of breastfeeding during CS births), and 5) Post-CS discharge tracking for surgical site infections (SSIs) on days 7 and 30. Through the hub-spoke mentorship model, routine collection and analysis of data by use of checklists and facility score summaries for progress reviews will be done.
EVIDENCE WHERE RELEVANT:
From the implementation, the project aims to achieve 1) 100% of women undergoing CS to have consented for CS, 2) correct use of SSC in 90% of CS cases. 3) CS-related complications and mortality reduced by at least 50% and 30%, respectively 4) Reduction of newborn admissions into the Newborn Unit by 30% and 5) 80% of post-discharge CS clients tracked for SSIs.
KEY MESSAGE:
Embedding midwifery-led models ensures safe, timely, and quality interventions for improved maternal and newborn outcomes Labour and birth - caesarean section
Obstetric surgery, especially Caesarean Section (CS), is essential for managing life-threatening complications during childbirth. Ensuring safe obstetric surgical and anesthesia care requires a multidisciplinary approach, and midwives’ involvement throughout the continuum of peripartum care remains underrecognized. The Global Surgery Foundation has funded an Obstetric Safe Surgery (OSS) project in Nakuru County, Kenya, with the aim of assessing and documenting how midwives enhance team-based care in maternity theaters by operationalizing WHO recommendations fundamental to achieving Sustainable Development Goal (SDG) 3: ensuring healthy lives and promoting well-being for all ages.
DISCUSSION:
Effective models of care prioritize respectful maternity services and implement protocols for infection prevention, surgical and anesthesia safety, and postoperative monitoring. The OSS project will be implemented in 5 government facilities. Using purposive sampling, the project will assess and document midwives’ involvement in five key domains. 1) Shared decision-making with clients, birth companions, and multidisciplinary surgical teams; 2) surgical safety checklist (SSC) utilization and adherence; 3) Infection prevention practices (pre-operative antibiotic administration, vaginal cleansing, and abdominal skin preparation), 4) 4)Newborn practices(delayed cord clamping, immediate skin-to-skin contact, and early initiation of breastfeeding during CS births), and 5) Post-CS discharge tracking for surgical site infections (SSIs) on days 7 and 30. Through the hub-spoke mentorship model, routine collection and analysis of data by use of checklists and facility score summaries for progress reviews will be done.
EVIDENCE WHERE RELEVANT:
From the implementation, the project aims to achieve 1) 100% of women undergoing CS to have consented for CS, 2) correct use of SSC in 90% of CS cases. 3) CS-related complications and mortality reduced by at least 50% and 30%, respectively 4) Reduction of newborn admissions into the Newborn Unit by 30% and 5) 80% of post-discharge CS clients tracked for SSIs.
KEY MESSAGE:
Embedding midwifery-led models ensures safe, timely, and quality interventions for improved maternal and newborn outcomes Labour and birth - caesarean section
| eISSN: | 2585-2906 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
