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Table 1 Scoring sheet for the assessment of practices in labour room and postnatal ward

From: Adherence to evidence based care practices for childbirth before and after a quality improvement intervention in health facilities of Rajasthan, India

Practice indicators

Score

 

Practices

  

Shaving of pubic hair

Yes = 0

No =1

Enema

Yes = 0

No =1

Partograph chart used

Yes = 1

No = 0

Fetal heart sounds (FHS) heard during labour*

Yes = 1

No = 0

Position of delivery

Lithotomy/Dorsal =0

Sitting =1

Augmentation of labour**

Yes = 0

No =3

Episiotomy for primigravidas

Yes = 0

No =2

Abdominal pressure applied in labour

Yes = 0

No =1

Intramuscular (IM) Oxytocin given after delivery

Yes = 3

No =0

Vaginal packing

Yes = 0

No =1

Proper drying and wrapping of newborn

Yes =1

No =0

Routine suction of all newborn

Yes =0

No =1

Initiation of breast feeding within 1 hour

No =0

Yes =2

Timing of discharge

<12 hours = 0

12–23 hours = 1

>24 hour = 2

Sterile gloves used for delivery

Yes =1

No =0

Hand-washing before conducting delivery

Yes =1

No =0

Postpartum checkup in ward***

Yes =2

No =0

Total practice score for this facility

  

Maximum practice score possible

  

% score for practices

  
  1. *Fetal heart sounds heard during labour: Providers were seen to be listening to fetal heart sounds at least once during period of observation.
  2. **Augmentation of labour: A drug (Intravenous oxytocin/Intramuscular oxytocin/dinoprostone gel/misoprostol) used to augment labour pains.
  3. ***Postpartum checkup in the ward: Pulse or BP of mother measured at least once in 12 hours after being shifted to the postpartum ward.