Table 2 Adherence to each 29 items in WHO safe childbirth checklist
Checklist item in WHO SCC | Frequency of checking of each item (%) n = 824 |
|---|---|
On admission | |
1. Does mother need referral? | 687(83.4) |
2. Partograph started? | 691(83.9) |
3. Does mother need to start antibiotics? | 688(83.5) |
4. Does mother need to start magnesium sulfate? | 688(83.5) |
5. Does mother need to start Nevirapine? | 682(82.8) |
6. Encourage birth companion to be present at birth | 609(73.9) |
7. Confirm supplies available to clean hands and wear gloves for each vaginal exam | 644(78.2) |
8. Confirm that Mother or Companion will call for help during labor if needed | 519(63) |
Just before pushing (or before Cesarean) | |
9. Does mother need to start antibiotics? | 637(77.3) |
10. Does mother need to start magnesium sulfate? | 632(76.7) |
11. Confirm essential supplies are at bedside for mother | 593(72) |
12. Confirm essential supplies are at bedside for baby? | 593(72) |
13. Assistant identified and ready to help at birth if needed? | 442(53.6) |
Soon after birth (within 1 hour) | |
14. Is mother bleeding abnormally? | 619(75.1) |
15. Does mother need to start antibiotics? | 615(74.6) |
16. Does mother need to start magnesium sulfate? | 607(73.7) |
17. Does baby need referral? | 615(74.6) |
18. Does baby need antibiotics? | 611(74.2) |
19. Does baby need special care/monitoring? | 611(74.2) |
20. Does baby need Antiretrovirals? | 603(73.2) |
21. Started breastfeeding and skin-to-skin contact? | 566(68.7) |
22. Confirm that mother/companion will call for help if danger signs present | 449(54.5) |
Before discharge | |
23. Is Mother’s bleeding controlled? | 657(79.7) |
24. Mother to start antibiotics? | 658(79.9) |
25. Babyto start antibiotics? | 660(80.1) |
26. Is Baby feeding well? | 653(79.2) |
27. If Mother HIV positive, Mother and Baby have ARVs for 6 weeks? | 124(15) |
28. Discuss and offer family planning options to Mother | 465(56.4) |
29. Arrange follow-up and confirm Mother/Companion will seek help if danger signs are present after discharge | 407(49.4) |