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International Journal for Research Trends and Innovation
International Peer Reviewed & Refereed Journals, Open Access Journal
ISSN Approved Journal No: 2456-3315 | Impact factor: 8.14 | ESTD Year: 2016
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Issue: May 2026
Volume 11 | Issue 5
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Impact Factor : 8.14
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| Paper Title: | Improving Maternal Outcomes Through Evidence-Based Intrapartum and Postpartum Care: A Prospective Observational Study in a Tertiary Maternity Hospital |
| Authors Name: | BESTY , Dr supriya , Dr Blessy |
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IJRTI_210113
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| Published Paper Id: | IJRTI2603040 |
| Published In: | Volume 11 Issue 3, March-2026 |
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| Abstract: | Abstract Background: Maternal morbidity and mortality remain major public health challenges globally, with postpartum haemorrhage (PPH) and hypertensive disorders contributing substantially to preventable maternal deaths. Although evidence-based intrapartum and postpartum interventions are well established, inconsistent application in routine practice limits their effectiveness. Objective: To assess the impact of evidence-based intrapartum and postpartum care practices—specifically Active Management of the Third Stage of Labour (AMTSL), Maternal Early Warning Scores (MEWS), and structured immediate postpartum monitoring—on PPH incidence and maternal and neonatal outcomes in a tertiary maternity hospital. Methods: A prospective observational study was conducted from January to June 2024 in a 200-bed tertiary maternity hospital. A total of 1,020 mother–infant dyads were included. Data on intrapartum interventions, postpartum monitoring, maternal near-miss events, neonatal APGAR scores, and breastfeeding initiation were collected. Statistical analysis was performed using SPSS version 26. Categorical variables were analyzed using the chi-square test, with statistical significance set at p < 0.05. Results: PPH incidence decreased significantly from 8.4% (baseline audit, 2023) to 4.1% during the study period (p = 0.03). AMTSL was significantly associated with reduced blood loss greater than 500 mL (p = 0.02). Maternal near-miss events declined from 14 to 7 cases. Neonatal outcomes improved, with APGAR scores ≥7 at 5 minutes increasing to 96.2% (p = 0.04). Early breastfeeding initiation within the first hour increased from 58% to 76% (p = 0.01). Conclusion: Standardized implementation of evidence-based intrapartum and postpartum care practices significantly improves maternal safety and neonatal outcomes. These findings support the integration of structured clinical bundles and continuous staff training in maternity care settings. Keywords: Intrapartum care; Postpartum care; Postpartum haemorrhage; Maternal outcomes; Active management of third stage of labour |
| Keywords: | Intrapartum care; Postpartum care; Postpartum haemorrhage; Maternal outcomes; Active management of third stage of labour |
| Cite Article: | "Improving Maternal Outcomes Through Evidence-Based Intrapartum and Postpartum Care: A Prospective Observational Study in a Tertiary Maternity Hospital", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2456-3315, Vol.11, Issue 3, page no.a305-a311, March-2026, Available :http://www.ijrti.org/papers/IJRTI2603040.pdf |
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2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016 An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator |
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Published Paper ID: IJRTI2603040
Registration ID:210113
Published In: Volume 11 Issue 3, March-2026
DOI (Digital Object Identifier):
Page No: a305-a311 Country: KANNUR, KERALA, India Research Area: Medical Science Publisher : IJ Publication Published Paper URL : https://www.ijrti.org/viewpaperforall?paper=IJRTI2603040 Published Paper PDF: https://www.ijrti.org/papers/IJRTI2603040 |
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ISSN: 2456-3315
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