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. 2021 Sep 30;9(3):575–589. doi: 10.9745/GHSP-D-20-00716

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.

a

Basic emergency obstetric care and comprehensive emergency obstetric care.