THE IMPLEMENTATION OF INTERPROFESSIONAL COLLABORATION IN CHILDBIRTH HEPATITIS B IN INDONESIA

Abstract

Transmission of hepatitis B from mother to fetus can cause a risk of more than 90% of developing chronic hepatitis B in the baby. The practice of interprofessional collaboration can prevent and reduce the risk of transmission and improve patient safety. Objective: explore more deeply and find out the practice of interprofessional collaboration in mothers giving birth with Hepatitis B at RSU Imelda Pekerja Indonesia. Method: This qualitative research used an embedded single case study design with 10 informants consisting of 1 obstetrician, 1 medical laboratory technology expert (ATLM), 1 pharmacist, and 6 midwives. In-depth interviews were conducted to gather information, and the data was analyzed using NVivo 12 Plus software. This study used triangulation of data from doctors, midwives, ATLM, pharmacists, and women giving birth with hepatitis; it was analyzed using thematic analysis, matrix analysis, and pattern matching analysis. Results: This study identified a collaborative flow from the Obstetrics Emergency Room, pharmacy, delivery room, postpartum room, to administering Hepatitis B immunoglobin serum to babies in the neonatary room. The work culture showed compliance with PPI and timely administration of serum to babies to prevent transmission. Institutional and environmental support includes unlimited provision of PPE and availability of medical equipment. The values and ethics of collaboration have upheld patient privacy rights and mutual respect between professionals. The barriers include a lack of training for midwives and the absence of specific SOPs for Hepatitis B deliveries. The hope is to increase midwives' understanding of education and training.