Reducing post-partum haemorrhage in Ghuman Community Health Centre, Punjab, India
The Ghuman Community Health Centre in Gurdaspur District caters to a population of about 40,000. On average, the centre attends 15 deliveries each month. In the absence of an attending physician, deliveries are conducted by the staff nurses. In this scenario, post-partum haemorrhage could not be managed within the facility. While the nurses routinely administered prophylaxis to women immediately after delivery, many women still had bleeding and were then referred to higher-level facilities. An improvement team was formed and tested the idea of keeping pre-loaded syringes of oxytocin near the delivery table for immediate administration after delivery. This approach worked well, and the team decided to make it a routine practice for all deliveries done at the facility.