Table 2.
Characteristics of women receiving regulated and unregulated administration of labour-inducing medication, among mothers delivering after 26 weeks of gestation in Timurgara district hospital, Pakistan, December 2013 to October 2014
| Regulated administration n (%) | Unregulated administration n (%) | |
|---|---|---|
| Total | 79 | 528 |
| Administered by: | ||
| MSF staff only | 8 (10.1) | 0 ( |
| Doctor (external) | 71 (89.9) | 2 (0.4) |
| Nurse | 0 ( | 14 (2.7) |
| Midwife (RNM) | 0 ( | 32 (6.1) |
| LHV/CMW/SBA/pupil midwives | 0 ( | 11 (2.1) |
| Lady health worker/CHWs | 0 ( | 157 (29.7) |
| Traditional birth attendant (dai) | 0 ( | 197 (37.3) |
| Dispenser (at pharmacy) | 0 ( | 36 (6.8) |
| Other | 0 ( | 79 (15.0) |
| Timing of administration | ||
| Antenatal | 53 (67.1) | 418 (79.2) |
| Perinatal | 3 (3.8) | 27 (5.1) |
| Postnatal | 8 (10.1) | 0 ( |
| Not documented | 15 (19.0) | 83 (15.7) |
| Mode of administration | ||
| Oral | 0 ( | 16 (3.0) |
| Intramuscular | 12 (15.2) | 42 (8.0) |
| Intravenous | 61 (77.2) | 457 (86.6) |
| Not documented | 6 (7.6) | 13 (2.5) |
| Exit diagnosisa | ||
| Delivery without complications | 35 (44.3) | 202 (38.3) |
| Obstructed/prolonged labour | 16 (20.3) | 111 (21.0) |
| Intra-uterine foetal death | 10 (12.7) | 86 (16.3) |
| Postpartum haemorrhage | 3 (3.8) | 32 (6.1) |
| Antepartum haemorrhage | 4 (5.1) | 30 (5.7) |
| Previous caesarean section | 3 (3.8) | 24 (4.5) |
CHW: community health workers also known as lady health workers; CMW: community midwife; LHV: lady health visitor; RNM: registered nurse midwife; SBA: skilled birth attendant.
a Multiple exit diagnoses are possible per patient; proportions do not add up to 100%.