International Journal of
Nursing and Midwifery

  • Abbreviation: Int. J. Nurs. Midwifery
  • Language: English
  • ISSN: 2141-2456
  • DOI: 10.5897/IJNM
  • Start Year: 2009
  • Published Articles: 213

Full Length Research Paper

Implementation of a novel obstetric triage tool in the tertiary maternity hospital of Sierra Leone: A quality improvement project

Rebecca Best
  • Rebecca Best
  • Welbodi Partnership, Sierra Leone.
  • Google Scholar
Jariatu Turay Nee Sesay
  • Jariatu Turay Nee Sesay
  • Princess Christian Maternity Hospital, Freetown, Sierra Leone.
  • Google Scholar

  •  Received: 30 January 2020
  •  Accepted: 09 June 2020
  •  Published: 31 July 2020


Angelini D, Howard E (2014). Obstetric triage: A systematic review of the past fifteen years: 1998-2013. The American Journal of Maternal and Child Health Nursing 39(5):284-297.


Floyd L, Bryce F, Ramaswamy R, Olufolabi A, Srofenyoh E, Goodman D, Owen M (2018). The introduction of a midwife-led obstetric triage system into a regional referral hospital in Ghana. Midwifery 61:45-52.


Forshaw J, Raybould S, Lewis E, Muyingo M, Weeks A, Reed K, Byamugisha J (2016). Exploring the third delay: An audit evaluating obstetric triage at Mulago National Referral Hospital. BMC Pregnancy and Childbirth 16(1):300.


Macones G, Pattker, Cm Mascola M, Heine, P (2016). Committee Opinion Number 667: Hospital-Based Triage of Obstetric Patients. The American College of Obstetricians and Gynaecologists, 128(1):537-540. 


Goodman D, Srofenyoh E, Olufolabu A, Kim S, Owen M (2017). The third delay: Understanding waiting time for obstetric referrals at a large regional hospital in Ghanal. BMC Pregnancy and Childbirth 17(216).


Healthcare Quality Improvement Partnership (2015). A Guide to Quality Improvement Methods.



Humphrey MD, Foxcroft KF, Callaway LK (2017). Obstetric risk score - revalidated for triaging high-risk pregnancies in rural areas. The Australian and New Zealand Journal of Obstetrics and Gynaecology 57(1):63-67.


Kenyon S, Hewison, A, Dann S, Easterbrook J, Hamilton-Giachrtsis C, Beckmann A, Johns N (2017). The design and implementation of an obstetric triage system for unscheduled pregnancy related attendances: A mixed methods evaluation. BMC Pregnancy and Childbirth 17(309):503-505.


Paisley K, Wallace R, Durant P (2011). The Development of an Obstetric Triage Acuity Tool. The American Journal of Maternal Child Nursing 36(5):290-296.


Quaille H (2018). Implementing an Obstetrics-Specific Triage Acuity Tool to Increase Nurses' Knowledge and Improve Timeliness of Care. Nursing Women's Health 22(4):293-301.


Rosedale K, Smith ZA, Davies H, Wood D (2011). The effectiveness of the South African Triage Score (SATS) in a rural emergency department. South African Medical Journal 101(8):537-40.


Ruhl C, Scheich B, Onokpise B, Bingham D (2015). Interrater Reliability Testing of the Maternal Fetal Triage Index. Journal of Obstetric, Gynaecologic and Neonatal Nursing 44(6):710-716.


Smithson D, Twohey R, Rice T, Watts N (2013). Implementing an Obstetrical Triage Acuity Scale: Inter-Rater Reliability and Patient Flow Analysis. American Journal of Obstetrics and Gynaecology 209(4):287-293.