Table 2.
Services available for management of childbirth by type of health centre (N = 29 centres included in facility survey)
| PHC, N = 15 | Sub-district hospital/CHC, N = 14 | |
|---|---|---|
| Basic birthing services, % | ||
| Sterilised equipment | 13 (87%) | 14 (100%) |
| Injection oxytocin 10 IU within 1 min of delivery | 13 (87%) | 14 (100%) |
| Controlled cord traction & uterine massage | 13 (87%) | 14 (100%) |
| Dry baby immediately after delivery | 15 (100%) | 14 (100%) |
| Place the baby on mother’s abdomen | 13 (87%) | 11 (79%) |
| Weigh baby after delivery | 13 (87%) | 14 (100%) |
| Initiate breast feeding within one hour | 15 (100%) | 14 (100%) |
| Basic emergency obstetric care, % | ||
| Parenteral Magnesium sulphate/Diazepam for convulsions | 11 (73%) | 13 (93%) |
| Parenteral antibiotic | 14 (93%) | 14 (100%) |
| Parenteral oxytocin for haemorrhage | 14 (93%) | 14 (100%) |
| Manual removal of placenta/retained products | 10 (67%) | 12 (86%) |
| Delivery with vacuum extraction or forceps* | 0 (0%) | 8 (57%) |
| Induction of labour | 6 (40%) | 10 (71%) |
| Injection Dexamethasone/ Betamethasone to mother for premature labour | 12 (80%) | 9 (64%) |
| New born resuscitation with bag and mask | 14 (93%) | 14 (100%) |
| Injectable antibiotics for newborn sepsis | 10 (67%) | 10 (71%) |
| Comprehensive emergency obstetric care, % | ||
| Caesarean section | 0 (0%) | 4 (29%) |
| Blood storage | 0 (0%) | 2 (14%) |
| I/v fluids for newborns | 8 (53%) | 10 (71%) |
| Oxygen for newborns | 0 (0%) | 4 (29%) |
| Deliveries conducted per centre over 6 months; median (IQR) | 100 (60–131) | 111 (64–293) |
| Referred during labour per centre; median (IQR)** | 20 (19–25) | 36 (23–43) |
*facility is available but not practiced regularly; **data available from 10 CHCs and 9 PHCs only