BABIES Matrix as an instrument of analysis of perinatal mortality and morbidity (by data o f the Aktobe Tertiary Care Center during 2010-2011)

Abstract

Introduction: Babies Matrix is an adjustable tool of evaluation, which allows collecting, organize, analyze and convert data in information for arrangements on Infant health protection. BABIES integrates five conceptions in order to help the Program manager to make decisions: 1. Time: Age of the fetus/infant at death 2. Group of Weight at birth or Dimension of the fetus/infant 3. Thinking in two dimensions - Weight at birth and Time in matrix of death 4. Interpretation of boxes in BABIES and grouping it in complexes of arrangements 5. Untapped Opportunities. Aims and Tasks for proceeding of BABIES Matrix: 1. to view the data and adapt the Matrix to the medical clinic where the Program proceeds 2. to put the data in the Matrix 3. to determine “Untapped Opportunities” 4. to analyze “Untapped Opportunities” by period, place and contingent 5. to choose the arrangement strategy and to determine targets and tasks 6. to choose detectors of the arrangement result and the process of your Program 7. to repeat the cycle in order to achieve continuing of the situation improvement. Materials: The work is based on meta-analysis of the infants medical histories within the period of 2010-2011, analyzed by BABIES Matrix. Analysis of our results: Main problems within a period of 2010 were in: • low qualification of Doctors-neonatologists • lack in Human recourses • training of Personnel in scarce • unearned practical skills of Staff • not all midwives were able to evaluate infant state correctly before doctor’s examination. Thus, the following complexes of arrangements were being undertaken: • Posts of Midwives were strengthened (4 instead of 3) and a number of doctors-in charge were added (3 instead of 2) • Doctors-neonatologists followed professional trainings on infant resuscitation • Trainings on infant resuscitation, handwashing and compliance of the thermal chain were performed constantly. Conclusions: Thus, BABIES Matrix helps: to determine a problem in the area of Mother and Infant health; to choose the most effective interventions for solving problems; to carry out monitoring and evaluation of efficacy of those interventions.