The document provides a maternal and newborn outcomes update for Queen Elizabeth Central Hospital from October to December 2024, highlighting bed capacity, staffing levels, and key outcomes. Total admissions during this period were 1,357, with a neonatal mortality rate of 11.2%, primarily due to asphyxia and respiratory distress syndrome. The report also identifies challenges such as understaffing and resource issues, alongside recommendations for discussion.

1. QUEEN ELIZABETH CENTRAL
HOSPTAL
MATERNAL AND NEWBORN OUTCOME UPDATE
OCTOBER TO DECEMBER,2024

2. OUTLINE
• Bed capacity
• Staffing level
• Maternal and newborn outcomes from October to December 2024
• Efforts
• Challenges
• recommendations

3. BED CAPACITY
• LABOR WARD: 28 beds
• POSTNATAL WARD: 120
• GYNAE WARD: 45
• ANTENATAL WARD: 32
• 1A: 20
• TOTAL : 240

4. MATERNITY BED CAPACITY
Maternity unit has a total bed capacity of with 24 delivery beds in
labour ward
WARD BED CAPACITY BED OCCUPANCY
LABOUR WARD 30 103.5
POSTNATAL 120 108
ANW 48 62.5
GYNAE 45 66.6
THEATRE 3 200
NURSERY 85 109
HDU 4 100

5. STAFFING LEVELS
• Nurse/Midwives 138
• Total medical Doctors 0
• Registra 6
• Clinicians
• Anaesthetist- not stationed in the department

6. MATERNAL & NEWBORN OUTCOMES FROM
OCTOBER TO DECEMBER,2024
OCT NOV DEC
0
200
400
600
800
1000
1200
930
959 971
846 855
784
37.6 32.5 32
ADMISSION DELIVERIES C/S %

7. DISRTIBUTION OF MODE OF DELIVERY
OCT NOV DEC
0
100
200
300
400
500
600
506
548
500
318
278
251
16 23 29
6 6 4
SVD C/S BREECH V/EXTR

8. PERINATAL OUTCOMES
OCT NOV DEC
0
10
20
30
40
50
60
70
58
49
57
15 14
20
63
55
58
NNDS FSB MSB ASYPHXIA

9. CHATINKHA NURSERY WARD OUTCOMES
OCT NOV DEC
0
50
100
150
200
250
300
350
400
450
500
463
434
460
54 47 51
42
29 34
12 18 17
ADMISSION NNDs ENND LNND
The total admissions for the
period under review were 1357
with mortality rate of 11.2 %.

10. CAUSES OF NEONTAL DEATHS AT NURSERY
WARD
ASPHYXIA
PREM
ATURITY
N.SEPSIS
M
AS
CONGENITAL
RDS
SYPHILIS
OTHER
0
10
20
30
40
50
60
70
80
73
15
7
13 14
44
1 2
CAUSES
• Asphyxia is leading as cause of
neonatal deaths and contributed
44.5% of total NND. RDS
contributed 26.8% and
prematurity 9.1 %. This reflects
the quality of intrapartum care

11. NURSERY ADMISSION CONDITIONS FROM
OCT-DEC,2024
ASYPHXIA
PREM
ATURITY
RDS
N.SEPSIS
JAUNDICE
CONGENITAL
M
AS
SYPHILIS EXPOSED
HEP-B
EXPOSED
BLEEDING
CORD
ANAEM
IA
FRACTURE
OTHERS
0
50
100
150
200
250
300
350
400
450
250
364
402
168
95
45
128
13 10 2 6 2
164
TOTAL
• Total admissions were 1357. Babies
from QECH LW were 1023, BDHO
299 and other facilities 35.
• RDS is contributing 29.6 % of total
admissions, prematurity 26.8%,
asphyxia 18.4%, and N.Sepsis 12.4%

12. MATERNAL OUTCOMES
OCT NOV DEC
0
2
4
6
8
10
12
2
5
10
6 6
5
NEARMISS VS MDs
NEARMISS MDs

13. CAUSES OF NEARMISS & MATERNAL DEATH
APH
PPH
PRE/ECLAM
P
SEPSISS
RU
ABORTION
ECTOPIC
OTHERS
0
1
2
3
4
5
6
7
8
9
1
5
1
0
8
1 1
0
0
2
4 4
1
0 0
4
NEARMISS MDs
• Total maternal deaths from Oct-Dec, 2024
were 15 and 17 Nearmiss.
• 11 of MDs were from Blantyre DHO
facilities and 4 from other district
hospitals
• 12 of Nearmiss cases were from BDHO
facilities and 5 from other district
hospitals

14. CHALLENGES
• Understaffing of both midwives and medical Drs.
• Theatre space
 long waiting list(high numbers of patients)
Inability to open 2 theatres 24/7 due to low staffing numbers (anesthetist,
midwives ,Drs).
Bed occupancy more than 100 percent
• Erratic resources
• Quality of referral and prereferral care

15. RECOMMENDATION
OPEN FOR DISCUSSION

16. QUESTIONS?
ANY COMMENTS