Competence of birth attendants at providing emergency obstetric care under India’s JSY conditional cash transfer program for institutional delivery: an assessment using case vignettes in Madhya Pradesh province

Table 5 Constituents of domains of competence by complication type – critical elements necessary to be mentioned in the response to be considered competent in each domain

Domain/ complication	APH	PPH	Eclampsia
Initial Assessment	Pulse, Blood Pressure, Per Vaginum exam not to be conducted	Pulse, Blood pressure, Estimation of vaginal bleeding	Blood pressure, Urine examination for albumin
Initial Assessment	Pulse, Blood Pressure, Per Vaginum exam not to be conducted	Abdominal examination	Blood pressure, Urine examination for albumin
Diagnosis	APH/Placenta previa	PPH/Atonic PPH/Haemorrhagic shock	Eclampsia or Severe Pre eclampsia
First line care	IV fluids	IV fluids	Injection Magnesium sulphate, in right dose (5 gm in each buttock) and route (deep IM)
	Referral/consults doctor	Either adding an uterotonic drug or mentioning uterine massage

ISSN: 1471-2393