Table 6. Perinatal indicators before (2008) and after introduction of SBA training programs (2009–2015).
| 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | P-valuee | |
|---|---|---|---|---|---|---|---|---|---|
| Birthing womena | n = 2511 n(%) | n = 2735 n(%) | n = 2668 n(%) | n = 2713 n(%) | n = 2708 n(%) | n = 2585 n(%) | n = 2590 n(%) | n = 2663 n(%) | |
| SMRU | 1436 (57.2) | 1632 (59.7) | 1784 (66.9) | 2083 (76.8) | 2210 (81.6) | 2100 (81.2) | 2155 (83.2) | 2181 (81.9) | <0.001 |
| Home | 675 (26.9) | 710 (26.0) | 582 (21.8) | 336 (12.4) | 281 (10.4) | 242 (9.4) | 225 (8.7) | 235 (8.8) | <0.001 |
| Hospital | 312 (12.4) | 292 (10.7) | 223 (8.4) | 233 (8.6) | 199 (7.0) | 217 (8.4) | 193 (7.5) | 229 (8.6) | <0.001 |
| Other | 88 (3.5) | 101 (3.7) | 79 (3.0) | 61 (2.2) | 27 (1.0) | 25 (1.0) | 17 (0.7) | 18 (0.7) | <0.001 |
| Singletons | 2489 (99.1) | 2707 (99.0) | 2637 (98.8) | 2687 (99.0) | 2687 (99.2) | 2561 (99.1) | 2536 (97.9) | 2609 (98.0) | 0.001 |
| C-section | 100 (4.0) | 110 (4.1) | 112 (4.2) | 119 (4.4) | 121 (4.5) | 143 (5.6) | 125 (4.9) | 161 (6.2) | 0.003 |
| Maternal deathb | 0 | 0 | 0 | 0 | 0 | 0 | 1c | 0 | n.a |
| SMRU singletons | 1426 | 1617 | 1767 | 2065 | 2194 | 2088 | 2125 | 2145 | |
| Partogram done | 1263 (87.6) | 1593 (98.5) | 1661 (94.0) | 1986 (96.2) | 2163 (98.6) | 2067 (99.0) | 2120 (99.7) | 2140 (99.8) | <0.001 |
| Stillbirths | 14 (1.0) | 11 (0.7) | 18 (1.0) | 17 (0.8) | 19 (0.9) | 14 (0.7) | 14 (0.7) | 9 (0.4) | 0.0276 |
| Induction | 35 (2.7) | 81 (5.0) | 129 (7.3) | 159 (7.7) | 108 (4.9) | 124 (5.9) | 125 (5.9) | 108 (5.0) | <0.001 |
| Augmentation | 71 (5.5) | 160 (9.9) | 251 (14.2) | 317 (15.4) | 291 (13.2) | 247 (11.8) | 232 (11) | 187 (8.7) | <0.001 |
| PPH | 68 (5.3) | 114 (7.0) | 140 (7.9) | 162 (7.9) | 87 (4.0) | 101 (4.8) | 137 (6.4) | 175 (8.2) | <0.001 |
| Apgar 1 mind | 8 [2–9] | 9 [1–9] | 9 [1–10] | 9 [1–10] | 9 [1–10] | 9 [1–10] | 9 [1–10] | 9 [1–10] | n.a |
| Apgar 5 mind | 9 [5–10] | 10 [1–10] | 10 [2–10] | 10 [1–10] | 10 [1–10] | 10 [1–10] | 10 [1–10] | 10 [2–10] | n.a |
| Neonatal resuscitationd | 56 (4.4) | 59 (3.7) | 59 (3.4) | 73 (3.6) | 48 (2.2) | 43 (2.1) | 68 (3.3) | 69 (3.3) | 0.090 |
| Early neonatal deathd | 14 (1.1) | 18 (1.1) | 19 (1.1) | 16 (0.8) | 11 (0.5) | 6 (0.3) | 8 (0.4) | 8 (0.4) | 0.013 |
| Episiotomy | 152 (12.2) | 68 (4.3) | 76 (4.6) | 122 (6.2) | 112 (5.2) | 117 (5.7) | 114 (5.4) | 115 (5.4) | <0.0001 |
| Episiotomy if parity 0 | 140 (29.1) | 63 (10.9) | 68 (11.0) | 106 (15.4) | 104 (13.0) | 105 (13.3) | 99 (12.3) | 105 (12.7) | <0.001 |
a EGA ≥28 weeks and birth weight ≥800g,
bdelivery related death,
cacute pulmonary embolus G5P4 AROM at 5 cm;
dlive born;
e p-value from Chi-squared test comparison of proportions from the year 2008 and the year 2015.