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Table 1 Scoring sheet for the assessment of practices in labour room and postnatal ward

From: Adherence to evidence based care practices for childbirth before and after a quality improvement intervention in health facilities of Rajasthan, India

Practice indicators Score  
Practices   
Shaving of pubic hair Yes = 0 No =1
Enema Yes = 0 No =1
Partograph chart used Yes = 1 No = 0
Fetal heart sounds (FHS) heard during labour* Yes = 1 No = 0
Position of delivery Lithotomy/Dorsal =0 Sitting =1
Augmentation of labour** Yes = 0 No =3
Episiotomy for primigravidas Yes = 0 No =2
Abdominal pressure applied in labour Yes = 0 No =1
Intramuscular (IM) Oxytocin given after delivery Yes = 3 No =0
Vaginal packing Yes = 0 No =1
Proper drying and wrapping of newborn Yes =1 No =0
Routine suction of all newborn Yes =0 No =1
Initiation of breast feeding within 1 hour No =0 Yes =2
Timing of discharge <12 hours = 0
12–23 hours = 1
>24 hour = 2
Sterile gloves used for delivery Yes =1 No =0
Hand-washing before conducting delivery Yes =1 No =0
Postpartum checkup in ward*** Yes =2 No =0
Total practice score for this facility   
Maximum practice score possible   
% score for practices   
  1. *Fetal heart sounds heard during labour: Providers were seen to be listening to fetal heart sounds at least once during period of observation.
  2. **Augmentation of labour: A drug (Intravenous oxytocin/Intramuscular oxytocin/dinoprostone gel/misoprostol) used to augment labour pains.
  3. ***Postpartum checkup in the ward: Pulse or BP of mother measured at least once in 12 hours after being shifted to the postpartum ward.