Table 3 Adherence (mean percentage of checklist items checked out of total) to each 27-items in modified WHO Safe Childbirth Checklist in both settings
Checklist item in modified WHO SCC | Adherence to each item (%) | |
|---|---|---|
DSHW (n = 329) | THMG (n = 153) | |
On admission to Antenatal ward | ||
1. Does mother need referral? | 127 (38.6) | 99 (64.7) |
2. Does mother need to start antibiotics? | 121 (36.8) | 105 (68.6) |
3. Does mother need to start antihypertensives/magnesium sulfate? | 120 (36.5) | 105 (68.6) |
4. Does mother need corticosteroids? | 123 (37.4) | 105 (68.6) |
5. Was mother informed about a birth companion? | 118 (35.8) | 108 (70.6) |
6. Was she informed about PPIUD? | 118 (35.8) | 105 (68.6) |
On admission to labour room | ||
7. Partogram started? | 240 (72.9) | 48 (31.4) |
8. Does mother need antibiotics? | 247 (75.1) | 42(27.5) |
Just before pushing (or before caesarean section) | ||
9. Does mother need to start magnesium sulphate/antihypertensives? | 236 (71.7) | 39 (25.5) |
10. Confirm essential supplies are at bedside | ||
: For mother | 237 (72.0) | 36 (23.5) |
: For baby | 236 (71.8) | 36 (23.5) |
11. Informing Paediatric House Officer | 240 (73.0) | 33 (21.6) |
Soon after birth (within 1 h) | ||
12. Maintenance of MEOWS chart | 237 (72.0) | 30 (19.6) |
13. Does mother need antibiotics? | 238 (72.3) | 36 (23.5) |
14. Does mother need to start magnesium sulphate/antihypertensives? | 233 (70.8) | 36 (23.5) |
15. Continuous monitoring of neonate done | 232 (70.5) | 36 (23.5) |
16. Does baby need referral? | 233 (70.8) | 36 (23.5) |
17. Does baby need antibiotics? | 225 (68.4) | 33 (21.6) |
18. Started breastfeeding and skin-to-skin contact | 232 (70.5) | 36 (23.5) |
Before discharge | ||
19. Confirm stay at ward for 24 h after delivery | 101 (30.7) | 21 (13.7) |
20. Does mother need antibiotics? | 125 (38.0) | 33 (21.6) |
21. Is mother’s blood pressure normal? | 124 (37.7) | 33 (21.6) |
22. Is mother bleeding abnormally? | 123 (37.4) | 33 (21.6) |
23. Vaginal exam performed and checked for missing swabs/clots/ infected lochia | 120 (36.5) | 33 (21.6) |
24. Does the baby need antibiotics? | 121 (36.8) | 33 (21.6) |
25. Is baby feeding well? | 120 (36.5) | 33 (21.6) |
26. Discuss and offer family planning options to mother | 114 (34.7) | 24 (15.7) |
27. Arrange follow-up and confirm mother/companion will seek help if danger signs appear after discharge | 52 (15.8) | 15 (9.8) |