Implementation of interprofessional collaboration in childbirth with eclampsia: a case study at Imelda Hospital, Medan
Keywords:
childbirth, collaboration, eclampsia, interprofessional, practiceAbstract
Maternal mortality rates in Indonesia remain high, with eclampsia being one of the main causes. The management of eclampsia cases requires interprofessional collaboration to optimise emergency maternal care. The aim of this study was to explore the implementation of interprofessional collaboration practices in childbirth with eclampsia at Imelda General Hospital, Medan. This was a qualitative study using a single case study approach, with nine informants (doctors, midwives, nurses, medical laboratory technicians, pharmacists, patients). Data were collected through observation, semi-structured interviews, and medical documentation, and analysed using thematic analysis with NVivo 12 Plus. Interprofessional collaboration practices in accordance with SOPs for the management of eclampsia are already in place, but specific SOPs for collaboration are not yet available. Five main themes were identified: collaboration practices, institutional support mechanisms, work environment and culture, barriers, and healthcare workers' expectations. The main barriers are limited healthcare personnel (especially midwives) and uneven PONEK training. Collaboration is carried out in accordance with the respective roles of health workers, but there is no systematic interprofessional discussion. Nevertheless, there has been an increase in rapid response (triage within 5–10 minutes), compliance with SOPs, appropriate clinical services, and patient satisfaction.
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