Assessment of Skills of Health Care Professionals Posted in Labour Room and Maternity OTs Based on OSCE (Objective Structured Clinical Examination) Using LaQshya Guidelines - Journal article

Sep 20, 2026

Study assesses clinical skills of doctors and nurses assigned to labour rooms and maternity operating theatres using OSCE framework based on LaQshya guidelines. Evaluation focuses on normal labour management, active management of third stage, newborn resuscitation, postpartum hemorrhage due to atonic uterus, and eclampsia, with multiple sub-parameters. A semi-structured observation checklist was used to collect data from selected hospitals in Indore and Ujjain, Madhya Pradesh, through a cross-sectional design during June 2020 to June 2021.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages6

Reading Time15 min

AccessFree to download

Abstract

Background

Materials and Methods

Results

Conclusion

Introduction

Material and Methods

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Assessment of Skills of Health Care Professionals Posted in Labour Room and Maternity OTs Based on OSCE (Objective Structured Clinical Examination) Using LaQshya Guidelines Chandra Gopal Dogne1, Shailesh Rai2, Nalini Dogne3, Sana Afrin4, Deepa Raghunath5, Salil Sakalle6 1,4Post graduate student, 2Assistant Professor, 5Associate Professor, 6Professor and Head, Department of Community Medicine, MGM Medical College, Indore, 3Post graduate student, Department of Obstetrics and Gynaecology, Gandhi Medical College, Bhopal. How to cite this article: Chandra Gopal Dogne, Shailesh Rai, Nalini Dogne et. al. Assessment of Skills of Health Care Professionals Posted in Labour Room and Maternity OTs Based on OSCE (Objective Structured Clinical Examination) Using LaQshya Guidelines. Indian Journal of Public Health Research and Development/Volume 15 No. 1, January-March 2024. Abstract Background: Present study attempts to assess the skills of staff including Doctors and nurses posted in labour room and maternity OTs based on OSCE (Objective Structured Clinical Examination) as mentioned in LaQshya guidelines in selected areas of Indore and Ujjain district (M.P) regarding the management of normal labour, the active management of third stage of labour, Newborn Resuscitation, management of PPH due to atonic uterus and management of eclampsia. Even in these parameters many sub-parameters were studied. Materials and Methods: Pre designed semi structured Observation checklist for Health care providers regarding skill assessment of the staff based on OSCE guideline was used to assess Health care providers including Doctors, Staff nurses/ANMs, who are providing MCH services in LR (Labour room) and maternity OT of the selected hospitals of Indore and Ujjain district. Results: Most of the manoeuvres were better performed by staff nurses posted in CHCs rather than those posted in PHCs. Breathing assessment of baby was lacking among staff nurses of both CHCs and PHCs and needed to be tackled with by a reorientation training of paramedical staff in critical care. Decision to transfer (is usually after Consultation with the in charge, hence it is usually the Medical officers prerogative) and bimanual compression/ aortic compression/condom tamponade to control bleeding was done exclusively by MOs. Conclusion: OSCE helped to assess the skills of the staff of maternity wing in a comprehensive manner and was well appreciated by the staff. Such OSCE modules should be developed and regularly used and updated to assess the clinical skill of the staff in the maternity wing of any health centre or hospital. Keywords: OSCE, LaQshya, Labour room, Maternity Introduction The Objective Structured Clinical Examination (OSCE) introduced by Haden and Gleeson, in 1975, has become a standard method of assessment in both undergraduate and postgraduate students.[1] The Government of India launched LaQshya programme Corresponding Author: Sana Afrin, Post Graduate student, Department of Community Medicine, MGM Medical College, Indore, Madhya Pradesh. [E-mail:](E-mail: drsana181@gmail.com)[ drsana181@gmail.com](E-mail: drsana181@gmail.com) in 2017 by the Ministry of Health and Family welfare (MoHFW, India) which aims at improving quality of care in labour room and maternity operation theatre so that every pregnant woman receives most appropriate care with dignity and respect, which is her fundamental right. [2] One of the key features in these LaQshya guidelines is ensuring skill assessment of all staff of LR & Maternal OT through OSCE testing as per Dakshata guidelines for delivery of ‘zero-defect’quality obstetric and newborn care. [2] Present study attempts to assess the skills of staff including Doctors and nurses posted in labour room and maternity OTs based on OSCE as mentioned in LaQshya guideline in selected areas of Indore and Ujjain district (M.P) regarding the management of normal labour, the active management of third stage of labour

FAQs

What does the study assess about healthcare professionals?

It assesses skills of doctors and nurses posted in labour rooms and maternity OTs using OSCE, aligned with LaQshya guidelines.

Which clinical areas were evaluated in the OSCE assessment?

Normal labour management, active management of third stage, newborn resuscitation, postpartum hemorrhage due to atonic uterus, and management of eclampsia were evaluated.

What key finding emerged from the OSCE results?

Most manoeuvres were better performed by staff nurses in CHCs than those in PHCs, and breathing assessment of the baby was lacking in both settings, requiring reorientation training.

Sep 20, 2026

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