Adopting Best-Practice and Improving Patient Experience during Postpartum Recovery of Cesarean Sections in a Rural Hospital Using a Lean Management System
Background: The Baby-Friendly Hospital Initiative established by the United Nations International Children’s Emergency Fund (UNICEF) and the World Health Organization (WHO) provide best practice guidelines for clinicians to facilitate skin-to-skin contact between mother and newborn immediately following delivery. Separation of mother and newborn following a cesarean birth, however, is still an accepted practice and negatively impacts both mother and newborn physically and psychologically.
Purpose: Create a process for women to complete Phase I post anesthesia recovery in the Women’s Health Unit to ensure mother, newborn and support person remain together, promoting skin-to-skin and family-centered care.
Methods: The Women’s Health team utilized the organization’s Lean Management System and A3 problem solving to develop a process in a safe environment that ensured medically stable mothers, newborns and support person could remain together following a c-section delivery.
Results: Processes were developed and mothers now complete Phase I recovery with their newborn and support person in the Women’s Health Unit when medically stable. Skin-to-skin time increased and mothers have expressed their gratitude for remaining with their newborn and support person.
Conclusion: The Lean Management System provided the structure and respect for the team to achieve innovative and sustainable improvement in a rural health facility.
Goodvin, Brittany, "Adopting Best-Practice and Improving Patient Experience during Postpartum Recovery of Cesarean Sections in a Rural Hospital Using a Lean Management System" (2023). Master of Science in Operational Excellence (OpX) Capstone Presentations. Paper 5.