Table 1.
Demonstrably Useful Practices (Category A)
|
Frequency of Observed Practice
|
|||||
|---|---|---|---|---|---|
|
Labor
|
Delivery
|
||||
| Demonstrably Useful Practices | Study Practices Observed (Where Different) | No. | (%) | No. | (%) |
| 1. Monitoring the woman’s physical and emotional well-being throughout labor and delivery | Blood pressure | 151/186 | (81) | ||
| Pulse | 75/186 | (40) | |||
| Temperature | 23/186 | (12) | |||
| Woman’s request for pain relief addressed | 19/60 | (32) | 23/25 | (92) | |
| 2. Offering oral fluids during labor and delivery | 0/181 | (0) | 0/177 | (0) | |
| 3. Respecting the right of privacy in the delivery place | Woman covered during examination | 167/187 | (89) | ||
| 4. Giving women as much information as they desire | Sharing vaginal exam findings | 177/1067a | (17) | 52/168 | (31) |
| 5. Fetal monitoring with intermittent auscultation | Fetal heart heard at appropriate intervals | 37/178 | (21) | 5/114b | (4) |
| 6. Single use of disposable materials (gloves) | 1047/1067a | (98) | 177/177 | (100) | |
| 7. Use of gloves in vaginal examination | 1047/1067a | (98) | |||
| 8. Freedom in position and movement in labor | Women allowed to move after asking provider | 13/20c | (62) | 0/177 | (0) |
| 9. Encouragement of nonsupine position in labor | 0/177 | (0) | |||
| 10. Partogram use | 0/181 | (0) | |||
| 11. Prophylactic oxytocin in third stage | Appropriate third-stage prophylactic oxytocin | 26/176 | (15) | ||
| 12. Sterility in cutting of umbilical cord | 176/176 | (100) | |||
| 13. Prevention of hypothermia of the baby | Radiant warmer used | 59/175 | (34) | ||
| 14. Early skin-to-skin contact | 0/175 | (0) | |||
| 15. Routine examination of placenta | 111/175 | (63) | |||
a
Number of vaginal exams observed in which information sharing was recorded;
b
does not include labors if second stage was <5 min;
c
20 women asked to move around.