Skip to main content
. 2025 Jun;19(2):136–142. doi: 10.18502/jfrh.v19i2.19302

Table 1:

Identified themes, sub-themes, and health indicators for assessment of hospitals’ perinatal services

Theme Sub-theme Indicators
Input/structure Health Human Resources Number of staff (midwife, nurse) per delivery
Number of staff (midwife, nurse) per admission
24-hour presence of a certified midwife for pregnancy assessment in the emergency department
Access to a pediatrician as needed (in ≤ 30 minutes)
Access to the gynecologist as needed (in ≤ 30 minutes)
Access to anesthesiologist as needed
Medical Staff Skillfulness Basic nursing skills (venipuncture, oxygen therapy, etc.)
Control of maternal bleeding
Diagnosis of high-risk pregnancy
Mothers’ education about pregnancy/neonatal care and red flags
Preparing the newborn for inter-hospital transfer
Neonatal resuscitation (applies for both gynecologist and anesthesiologist)
Teamwork
Physical Space Independent midwifery admission unit in the emergency department
Number of beds per delivery room area
Number of beds per postpartum care unit area
Special operating room for emergency cesarean section
Status of indoor access (elevator/standard stair)
Space heating and cooling
Room ventilation
Full-staff clinic for postpartum visits and follow-up
Full-staff clinic to visit and follow-up the newborns
Equipment Basic equipment for pregnancy examination (sphygmomanometer, scales, fetal monitors) in the emergency room
Natural childbirth facilities
Anesthesia facilities in the operating room
Primary oxygen therapy facilities (bag valve mask, pulse oximetry) for mother and newborn (4–6 hours after birth)
Neonatal resuscitation facilities
Phototherapy facilities
Technical Support and Information HIS (hospital information system)
Internet communication infrastructure to communicate with the guidance staff
File registration and maintenance system
Implementation of clinical care protocol
Implementation of referral protocol
Patient transfer form, containing the history of the neonatal clinical and paraclinical findings
Follow-up protocol for the healthy and non-healthy neonates
Checklists for periodic audits of the processes
Process Medical Staff Retraining and Empowerment Resuscitation workshop for the staff, pediatricians, gynecologists, and anesthesiologists
Basic nursing skills
Preparing the neonate for transfer
Providing experienced staff to accompany the patient when transferring
Educate mothers about pregnancy/neonatal care and red flags
Admission Admission by a midwife
Initial assessment of the mother in an independent midwifery unit in the emergency department
Considering the patient’s conditions and grading system
Patient Management Educating the mother under pregnancy care on pregnancy red flags, expected delivery, and breastfeeding
Simultaneous initiation of maternal care within the admission
Completing the partograph for delivery
Measuring the fetal heart rate during labor
Managing the pregnant women based on protocols during and after delivery
Initial examination of the newborn in the delivery room
Process Referral Completing the patient transfer form
Accompanying the patient with expert medical staff during inter-hospital transfers
Recording newborns’ information during the transfer
Recording newborns’ information upon delivery
Sending feedback on the transfer process and follow-up on the shortcomings of the transfer
Follow-up and Education Determining and informing the patients about the follow-ups of the mother and the newborn at the time of discharge
Follow-up on future visits of both mother and neonate
Educating mothers about breastfeeding
Performing regular screenings
Performing regular examinations of healthy infants based on the protocols
Monitoring and Regular Audit Performing regular audits and process reviews
Outcome Mortality and Morbidity Indices Number of maternal deaths per admissions
Number of LBW births per live births
VLBW number of births per live births
Number of infant deaths per number of live births (by gestational age)
Number of infant deaths per number of live births (by birth weight)
Number of infant deaths per number of live births (by cause)
Number of mothers in need of ICU per live birth
Number of discharges with personal consent per admission (mothers)
Number of neonatal nosocomial infections per neonatal admission
Number of sepsis cases per neonatal admission