Assessment of Skills of Health Care Professionals Posted in Labour Room and Maternity OTs Based on OSCE (Objective Structured Clinical Examination) Using LaQshya Guidelines
Keywords:OSCE, LaQshya, Labour room, Maternity.
Background: Present study attempts to assess the skills of staff including Doctors and nurses posted in labour
room and maternity OTs based on OSCE (Objective Structured Clinical Examination) as mentioned in LaQshya
guidelines in selected areas of Indore and Ujjain district (M.P) regarding the management of normal labour, the
active management of third stage of labour, Newborn Resuscitation, management of PPH due to atonic uterus and
management of eclampsia. Even in these parameters many sub-parameters were studied.
Materials and Methods: Pre designed semi structured Observation checklist for Health care providers regarding
skill assessment of the staff based on OSCE guideline was used to assess Health care providers including Doctors,
Staff nurses/ANMs, who are providing MCH services in LR (Labour room) and maternity OT of the selected
hospitals of Indore and Ujjain district.
Results: Most of the manoeuvres were better performed by staff nurses posted in CHCs rather than those posted
in PHCs. Breathing assessment of baby was lacking among staff nurses of both CHCs and PHCs and needed to be
tackled with by a reorientation training of paramedical staff in critical care. Decision to transfer (is usually after
Consultation with the in charge, hence it is usually the Medical officers prerogative) and bimanual compression/
aortic compression/condom tamponade to control bleeding was done exclusively by MOs.
Conclusion: OSCE helped to assess the skills of the staff of maternity wing in a comprehensive manner and was
well appreciated by the staff. Such OSCE modules should be developed and regularly used and updated to assess
the clinical skill of the staff in the maternity wing of any health centre or hospital.
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