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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024PP-24Increasing the Recruitment of Obese Postnatal Mothers for Pre-Pregnancy Care(PPC) in Barat Daya DistrictChan TH%u00b9, Nurul IM%u00b9, Nur Azida AR%u00b9, Juliana ZA%u00b2, Nor Azah H%u00b2, Fazilah A%u00b3, Shawalni O%u00b3 Haslinda S%u2074,Norsuraini R%u2075%u00b9Klinik Kesihatan Bayan Lepas, Barat Daya, Pulau Pinang%u00b2Klinik Kesihatan Bayan Baru, Barat Daya, Pulau Pinang%u00b3Klinik Kesihatan Air Putih, Barat Daya, Pulau Pinang%u2074Pejabat Kesihatan Daerah Barat Daya, Pulau Pinang%u2075Klinik Kesihatan Teluk Bahang, Barat Daya, Pulau PinangSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Pre-pregnancy care (PPC) recruitment which includes registration and intervention of obese women iscrucial to reduce complications towards the mother and child during pregnancy. Verification data showedthat 33.1% of obese postnatal mothers in Barat Daya District were registered in the PPC registry, but noneof the registered mothers were recruited to receive appropriate interventions for PPC. We aimed toincrease the recruitment of obese postnatal mothers for PPC in this study.KEY MEASURES FOR IMPROVEMENT:The indicator was the percentage of obese postnatal mothers recruited for PPC. Standard was set at %u226580%.PROCESS OF GATHERING INFORMATION:The study was conducted from March 2023 until March 2024 through convenience sampling with a totalof three cycles. The data collection tools used were questionnaires, antenatal books, PPC registrationbook, PPC forms, and audit checklist.ANALYSIS AND INTERPRETATION:There were no obese postnatal mothers who were recruited for PPC during the pre-remedial phase. Thecontributing factors were 73.7% of obese postnatal mothers failed to be identified by nurses, 73.7% ofcases were not registered into PPC and 100% failed management of PPC by medical officers.STRATEGIES FOR CHANGE:The strategies were courses and training of PPC to healthcare workers, revised PPC form, a module ofobesity education, PPC Alert sticker, and reminder card.EFFECT OF CHANGE:The percentage of obese postnatal mothers recruited for PPC increased from 0% to 84%. Improvement inMOGC was seen in identifying obese postnatal mothers from 26.3% to 100%, PPC registration for obesepostnatal mothers from 26.3% to 100%, and management of PPC by medical officers from 0% to 84%.Obese postnatal mothers on contraception had improved from 89% to 95%. We were also able to detectthat 78% of obese postnatal mothers had abnormal results in metabolic syndrome screening, which werepreviously not known.THE NEXT STEP:Collaboration with multidisciplinary teams will be established for weight reduction programs amongobese postnatal mothers.76 | Page