TABLE 3.
Facility Readiness Practices and Resources for ACS Use in Threatened Preterm Birth as Reported by Health Care Providers in Public Facilities in Northern India
| Clinical Services | District Hospital, % (N=2) | Subdistrict Hospital, % (N=2) | Community Health Center, % (N=8) | Primary Health Center, % (N=8) | |
|---|---|---|---|---|---|
| Evidence-based practices | |||||
| Adequate gestational age assessment | Ultrasound fetal biometry | 100 | 100 | 87.5 | 100 |
| Fundal height | 100 | 100 | 87.5 | 87.5 | |
| Advise for USG <24 weeks | 100 | 100 | 100 | 100 | |
| Adequate obstetric carea | Parenteral antibiotics for maternal infection | 100 | 100 | 100 | 100 |
| Parenteral magnesium sulfate for pre-eclampsia | 100 | 100 | 100 | 100 | |
| Parenteral oxytocic drugs for hemorrhage | 100 | 100 | 100 | 100 | |
| Manual removal of retained placenta | 100 | 50 | 87.5 | 100 | |
| Removal of retained products of conception | 100 | 100 | 100 | 75 | |
| Assisted vaginal delivery | 50 | 100 | 50 | 50 | |
| Resuscitation with bag and mask | 100 | 100 | 100 | 100 | |
| Obstetric surgery with anesthesia | 100 | 100 | NA | NA | |
| Blood transfusion facility | 100 | 100 | NA | NA | |
| Protocol for threatened preterm birth | 0 | 0 | 0 | 0 | |
| Adequate preterm care | Measure labor room temperature | 100 | 100 | 100 | 100 |
| Measure postnatal unit temperature | 0 | 0 | 12.5 | 12.5 | |
| Kangaroo mother care | 100 | 50 | 37.5 | 25 | |
| Physical resources | |||||
| Essential medicine and functional equipment | Dexamethasone | 100 | 100 | 100 | 100 |
| Oxytocin | 100 | 100 | 100 | 100 | |
| Magnesium sulfate | 100 | 100 | 100 | 100 | |
| Parenteral antibiotics | 100 | 100 | 100 | 100 | |
| Antihypertensives | 100 | 100 | 100 | 87.5 | |
| Antipyretics | 100 | 100 | 100 | 87.5 | |
| Oxygen | 100 | 100 | 87.5 | 100 | |
| Thermometer | 100 | 100 | 75 | 100 | |
| Ultrasound | 100 | 50 | 0 | 0 | |
| Fetoscope | 50 | 50 | 100 | 75 | |
| Dipstick for urine protein | 100 | 50 | 100 | 75 | |
| Phototherapy lights | 100 | 100 | 75 | 62.5 | |
| Pulse oximeters | 100 | 100 | 75 | 50 | |
| Radiant warmers | 100 | 100 | 100 | 75 | |
| Oxygen tubing | 100 | 100 | 100 | 75 | |
| Oxygen blender | 50 | 0 | 0 | 0 | |
| Nasogastric tube | 100 | 100 | 100 | 87.5 | |
| Container and cup | 50 | 50 | 50 | 50 | |
| Wall suction | 50 | 50 | 25 | 62.5 | |
| CPAP | 50 | 0 | 0 | 0 | |
Abbreviations: ACS, antenatal corticosteroids; CPAP, continuous positive airway pressure; NA, not applicable; USG, ultrasonography.
Basic emergency obstetric care and comprehensive emergency obstetric care.