| सारांश: | The study was conducted to assess the quality of clinical care regarding skilled
attendance in Bangladesh. The information was extracted from the delivery records in
the facility with the aim of establishing a baseline regarding the situation at the facility
and track progress towards achieving skilled attendance. In the study data was mainly
collected from the last 6 month's case reports of District Hospital and Govt. MCWC of
Kurigram district. Thus the study mainly dealt with 300 case reports of the facilities, but
information was also taken from the delivery book, admission book and operation book
of the facility. Among the cases 43% were complicated and 57% were uncomplicated.
The delivery records clearly reflected poor record keeping system in the facilities. Study
results revealed that at the facility level most of the key information was not recorded.
No record was found about discharge diagnosis, duration of gestation at admission,
presentation of foetus, time between delivery of baby and placenta, urine albumin and
sugar. In some cases it was found that information regarding clinical status of woman at
start of labour i.e. pulse, temperature, most recent haemoglobin level was recoded but
was not compatible with the condition of the women. The limited availability of
environmental factor like manpower were likely responsible for poor care records in the
facility. Situation at Govt. MCWC, the obstetric service focused facility was found as
better.
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