Table 2 Comparison of admission assessment criteria for eligible women by monitoring type pre- and post- intervention
Pre –intervention medical record review | Post–intervention medical record review | Significance | Pre –intervention medical record review | Post–intervention medical record review | Sig.level | |
|---|---|---|---|---|---|---|
Admission assessment criteria | Eligible women receiving IA | Eligible women receiving IA | Eligible women receiving CTG | Eligible women receiving CTG | ||
n = 157/% | n = 158/% | n = 130/% | n = 107/% | |||
Admission CTG | ||||||
Yes | 88 (56.1) | 67 (42.4) | RR 0.75, 95% CI, 0.60 – 0.95, p = 0.016 | 120 (92.3) | 99 (92.5) | NS |
Abdominal palpation | ||||||
Yes | 89 (56.7) | 82 (51.9) | NS | 80 (61.5) | 63 (58.9) | NS |
Fetal lie | ||||||
Yes | 67 (42.7) | 56 (35.4) | NS | 59 (45.4) | 46 (43) | NS |
Fetal position | ||||||
Yes | 72 (45.8) | 67 (42.4) | NS | 65 (50) | 57 (53.3) | NS |
Fetal presentation | ||||||
Yes | 83 (52.9) | 70 (44.3) | NS | 75 (57.7) | 57 (53.3) | NS |
Fetal descent | ||||||
Yes | 67 (42.7) | 54 (34.2) | NS | 61 (47) | 47 (43.9) | NS |
Fetal movement (FM) patterns | ||||||
Yes | 25 (15.9) | 32 (20.3) | NS | 25 (19.2) | 21 (20) | NS |
FM palpated by midwife and woman | ||||||
Yes | 0 (0) | 3 (1.9) | NS | 4 (3.1) | 3 (2.8) | NS |
FHR heard during FM | ||||||
Yes | 0 (0) | 7 (4.4) | Fisher’s Exact p = .015 | 1 (0.8) | 3 (2.8) | NS |
Uterine activity | ||||||
Yes | 99 (63.1) | 115 (72.8) | NS | 71 (54.6) | 69 (64.5) | NS |
Contraction frequency | ||||||
Yes | 109 (69.4) | 97 (61.4) | NS | 61 (47) | 49 (45.8) | NS |
Contraction Duration | ||||||
Yes | 38 (24.2) | 36 (22.8) | NS | 18 (13.8) | 12 (11.2) | NS |
Contraction strength | ||||||
Yes | 59 (37.6) | 55 (34.8) | NS | 31 (23.8) | 30 (28) | NS |
Uterine resting tone | ||||||
Yes | 1 (0.6) | 0 (0) | NS | 0 (0) | 2 (1.9) | NS |
FHR documented as a single number | ||||||
Yes | 67 (42.7) | 83 (52.5) | NS | 50 (38.5) | 44 (41.1) | NS |
Maternal pulse noted | ||||||
Yes | 7 (44.5) | 32 (20.3) | RR 4.54 95% CI, 2.06 – 9.98, p = 0.0002 | 8 (6.2) | 27 (25.2) | RR 4.10 95% CI, 1.94 – 8.64, p = 0.0002 |
FH rhythm noted | ||||||
Yes | 1 (0.6) | 3 (1.9) | NS | 0 (0) | 6 (5.6) | Fisher’s Exact p = .008 |
Accelerations noted | ||||||
Yes | 61 (38.8) | 33 (20.9) | RR 1.29 95% CI 1.11 – 1.50, p = <0.0007 | 59 (45.4) | 38 (35.5) | NS |
Decelerations noted | ||||||
Yes | 39 (24.8) | 26 (16.5) | NS | 47 (36.2) | 35 (32.7) | NS |