SCC Concept 2 B y t he end o f t he sess i o n l ea r n e r s w il l be ab l e t o D e f i ne w hat i s che c k li st ID: 1040595
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1. Safe Childbirth Checklist (SCC) Concept
2. 2By the end of the session, learners will be able to:Define what is checklistDescribe the layout of the SCCDescribe how various check points are arranged in SCC to improve QoCExplain how SCC will be helpful in improving servicesDescribe responsibilities of service providers to ensure effective use of SCCLearning Objectives
3. A tool which enables one to remember to perform all the essential actions one desires to perform in complex situationsExamples of checklists? (participants)2 minutes 19 item surgical safety checklistfive-item checklist for central-line placementSafe Childbirth Checklist (SCC)What is a checklist3
4. Checklists have reduced systems failure in complex procedures such as flying multi-engine aircrafts4
5. 5Where do we need to focus?Quality of childbirth care is the keyPeriod of maximum risk for mother (and baby): Needs more focusWoman is in facility. Most interventions happen in labour rooms
6. Multiple stages, client may be at different places during different stagesLong duration, provider may change during the processMultiple actions need to be performedAll actions need to be performed at appropriate times e.g. Uterotonic should be given immediately after birth during third stageBaby, if not crying spontaneously, should be revived within 1 minute of deliveryComplications can occur any time and in any caseLabour Process: Challenges6
7. Is a tool focusing on essential practices for safe childbirthAims to help the service providers to:Know what essential activities need to be performedKnow when these essential activities need to be performedKnow how to perform these activitiesBreaks down the care process into 4 pause points or checksThe Safe Childbirth Checklist7
8. 8It is a time during the delivery process where the service provider can briefly stop and :Review the condition of the woman and the newborn babyCheck whether he/she has performed all the essential activities for safe carePrepare for safe care activities that need to be performed next What is a Pause Point/Check?The Checklist Is Organized Around 4 Pause Points/Checks
9. 9This is the first contact of the mother with us. We can pause and review whether we have assessed mother properly, briefed the mother and companions about the process, and are prepared for her delivery in the facilityIf the mother’s condition can not be managed in this facility, she can be referredCheck 1, On Admission
10. 10We can review our preparation for the delivery immediately before delivery, as we might not have time to look for necessary supplies when delivery is happening“Golden Minute” for the Baby, look for PPH for motherCheck 2, Just Before and During Birth (or Cesarean)
11. 11The first hour after the delivery is important for both mother and babies as the mother is recovering after the delivery and the baby is transitioning from a life in the womb to that in the world We can pause at this time to review that mother and baby are fine and ensure practices such as breast feeding and skin to skin contactCheck 3, Soon After Birth (within 1 hour)
12. 12The mother and baby are leaving from the facility and hence our constant supervisionThis is an important time to pause and review their condition before discharge and give appropriate follow up adviceCheck 4, At Discharge
13. Perform activities as you routinely do At each pause point go through the checklist to check whether you have performed everything and in the correct mannerTick appropriate responses in the checklistUse the guidance given in the checklist to perform activitiesIf you missed any critical action, perform it, and then check appropriate response in the checklist How to Use the Checklist ?13
14. Responsibilities- Medical OfficersEncourage use of checklist for each delivery on the relevant pause pointEncourage correct practices like appropriate use of drugs/antibiotics and proper following of clinical protocols (as per checklist)Motivate the staff for checklist use, provide hands on support where needed and solve problemsStreamline the availability of Drugs, Supplies and consumables where required
15. Responsibilities- Nursing StaffKeep the provided checklists attached with each case sheetKeep the essential supplies related to checklist use ready for each deliveryFollow checklist protocols for each delivery Record the actions taken for the relevant checks in SCC properly for each deliveryKeep the case sheets and checklists safe for recording of data
16. 16Intra and immediate postpartum period is the most risky period for mother and babyThere are 4 checks or pause points in SCC related to the stages of labour with the key activities to be performed at each pointSCC helps service providers remember key activities to perform timely and in a standardized way to improve quality of care during childbirth and immediate postpartum period.Key Messages