187-1107 / Maternity Hospital Guide – gathering relevant information about the quality and safety of obstetric wards in Slovak hospitals

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
HCSA gives information about project which was elaborated by representatives of Health Policy Institute, patient organization rodinka.sk in close cooperation with experts group of obstetric physicians.


Quality indicators
Patient involvement
Patient involvement
GOP Description
Implementation level
Clinical settings
National level. During the last year, the project was implemented in 50 out of 55 existing maternity hospitals in Slovakia.
The aim of the project is to increase the level of awareness about the quality of care in maternity units. The project may help pregnant women to make an informed choice of the hospital out of the available network of maternity hospitals. The project supports the improvement of quality of care and the development of standards.
Healhcare professionals of the maternity hospitals and pregnant women of Slovakia. In Slovakia, there is around 56.000 births and around 60.000 newborns a year
Standardized survey of obstetric and neonatal wards in hospitals of Slovakia and assessment of quality of healthcare. Participation in the evaluation of primary health care is voluntary. Evaluation consists of three parts:
I. Expert evaluation. Prominent experts’ set of 10 parameters to measure the quality and safety of medical care in maternity wards.
II. Evaluation of maternity services. The evaluation is related to the following activities: preparation for childbirth, accompanying person during birth giving in hospital, birth options and quality of medical equipment, puerperium, bonding, and breast-feeding
III. The rating of obstetric wards units by clients and mothers: using a single questionnaire form with 14 questions.
Timeframe implementation
The time of implementation was one year. The Maternity Hospital Guide project was implemented in the year 2011.
Implementation tools available
The implementation tools and the structure of information is available by project leaders (Health Policy Institute) and for the public on the website: www.sprievodcaporodnicami.sk.
Implementation cost
We do not have information about the implementation costs.
Method used to measure the results
The project Maternity Hospital Guide reached its third year of great progress and success in 2012 and 2013. It integrated leading experts in perinatology, patient organizations, mothers, and families. There were more than 3.100 evaluations done by women giving birth this year, which represents almost 6% of all deliveries in Slovakia. 14 most important Slovak experts and 1 American expert in perinatology were involved to develop criteria for the expert evaluation.
More than 7.500 mothers filled out the questionnaire and the webpage www.sprievodcaporodnicami.sk had more than 100.000 unique visitors and more than 640.000 page views in 2 years. The results of the project are presented in figures, tables and charts on the website www.sprievodcaporodnicami.sk Specific information of several types and selected relevant data about the quality and safety of obstetric and perinatal care can be compared and evaluated for each year.
Analysis of the results
Rankings of the 10 most successful hospitals are available on the website www.sprievodcaporodnicami.sk. If a maternal hospital is participating in the evaluation by survey repeatedly, it will be possible to follow the trend of improvement in relevant parameters.
Implementation barriers
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Other information
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The content of Expert evaluation:
There are evaluated 10 parameters for measuring the quality and safety of medical care in maternity wards: number of births in hospital for one year, centralization – transport in utero, perinatal mortality, number of births with forceps or vacuum-extractor, death of infant (weight 2500 g or more) within 7 days after birth, Apgar score less than 7 at 5 minutes, Caesarean section rate, Birth epidural analgesia (PEDA), Caesarean section births in low-risk one fetus over 2,500 and VBAC (vaginal birth after Sectio Cesarea)
Satisfaction´s rating of clients & mums, using a single questionnaire, which contains 14 questions. The questions are related to the level of expertise of medical team, presence of accompanying person at birth, satisfaction with the equipment of obstetric ward, care of baby, support of breastfeeding on the ward, quality of antenatal courses, willingness of staff to listen an d respond to the individual needs of the mother.
More selected information you can get from Health Policy experts: Silvia Hnilicova MD and Mgr. K. Skybova
Or you can visit the HPI website: