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Table 4 Routine caesarean delivery practices reported by surgical providers

From: Using direct clinical observation to assess the quality of cesarean delivery in Afghanistan: an exploratory study

  % of providers*
Practices that are usually considered unnecessary and potentially harmful  
Administer enema prior to cesarean delivery 3%
Shave the abdomen and public hair prior to cesarean 3%
Open the uterine cavity by vertical incision (n = 76) 4%
Close the peritoneum (n = 77) 32%
Routinely transfuse one unit of blood during or after cesarean (n = 77) 18%
Routinely perform tubal ligation after the mother’s third cesarean delivery (n = 77) 25%
Restrict oral intake for 24 hours postoperatively 94%
Restrict ambulation for 24 hours postoperatively 29%
Prescribe antibiotics for 5 to 7 days in all postoperative cases (n = 76) 71%
Routinely conduct cesarean delivery for women who have eclampsia (n = 69) 21%
Routinely conduct cesarean delivery for women who are considered short in stature and are primigravidas (n = 76) 28%
Routinely conduct cesarean delivery for women who have had one prior cesarean delivery (n = 76) 18%
Routinely conduct cesarean delivery for women who have meconium-stained fluid in early labor (n = 77) 42%
Practices that are considered appropriate for routine care  
Use regional anesthesia (n = 73) 68%
Open the abdomen using transverse incision (n = 77) 70%
Routinely conduct cesarean delivery for women who have had two prior cesarean deliveries 82%
  1. *n = 78 unless otherwise noted due to missing data.