Browsing by Author "Mahalakshmi, M."

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    LaQshya- an uphill climb: a review of implementation of LaQshya programme at a tertiary centre in Chennai
    (Medip Academy, 2023-03) Mahalakshmi, M.; Kanmani,. K.; Kirubanidhi, Vidyaa U.; Swetha, S.
    LaQshya- labour room quality improvement initiative, a National Quality Assurance Programme was launched by the National Health Mission, Government of India in 2017 for improving the quality of services provided at the time of delivery and immediate post-partum period. The programme has been implemented at the Institute of Social Obstetrics, Government Kasturba Gandhi Hospital for women and children from the year 2019. A plethora of changes have been brought about at the legendary institution since then. A retrospective programme review of the changes brought about at the Institute of Social Obstetrics, Government Kasturba Gandhi Hospital for Women and Children in the dimensions described under the LaQshya program i.e.; structural improvement and process improvement and henceforth a comparison of the various outcome as key performance indicators before and after the implementation of the programme. The quality of Institute of Social Obstetrics Government Kasturba Gandhi Hospital started at the bottom with 40%, under the guidance of LaQshya has improved to an astounding 93% making us the proud bearers of the prestigious platinum badge which was evident with the obvious improvement in various outcome indicators. Despite the implementation, LaQshya was an uphill trudge, to break old habits and restrain into new norms and guidelines, the results as mentioned proved to be a beautiful view at the end of the climb. LaQshya is indeed a boon not only to the mothers benefiting from it but also to the service provider as a tool to be a better health care personnel.
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    Magnitude, risk factors and immediate outcome of external congenital anomalies in neonates in government Cuddalore medical college and hospital: an observational study
    (Medip Academy, 2024-02) Ramanathan, R.; Mahalakshmi, M.
    Background: Despite the enormous incidence of congenital malformations in developing countries, there are presently few thorough data on these disorders because there are no birth defect registries. This study was conducted with objectives to determine the magnitude, risk factors and outcomes of external congenital anomalies in neonates born in government Cuddalore medical college and hospital.Methods: The present study is an observational study. All the neonates born during the study period were included in our study and risk factors and outcome of 201 babies born with external congenital anomalies were analyzed in detail.Results: The incidence of external congenital anomalies is 5.68% with 33% having major and 63% having minor anomalies. Among the major anomalies cleft lip and/or palate is the most common anomaly (5%) in our study. Overall sacral dimple is the most commonly observed external congenital anomaly (9.50%). Four-fifths of the newborns with external congenital anomalies were discharged. About 13% of the newborns with congenital anomalies expired.Conclusions: A comprehensive package that includes preventive services, diagnostic, surgical or medical intervention, financial assistance, counselling, and psychosocial support, as well as follow-up treatments like rehabilitation, is required in combating the incidence of congenital anomalies.