Observations (20) | Record reviews (200) | |||
---|---|---|---|---|
n | % | n | % | |
Monitoring during labour and childbirth | ||||
History and risk factors (ANC card) | 20 | 100 | 200 | 100 |
Progress of labour (partograph) | 20 | 100 | 200 | 100 |
Vaginal examinations at least 4 hourly | 20 | 100 | 200 | 100 |
Monitoring of fetal heart beat at least 1 hourly | 20 | 100 | 190 | 95 |
Monitoring of blood pressure at least 1 hourly | 8 | 40 | 89 | 45 |
Care during labour and childbirth | ||||
Support person present | 20 | 100 | N/A | N/A |
Hand washing | 15 | 75 | N/A | N/A |
Urine catheter | 6 | 30 | 38 | 19 |
Correct use of AMTSL | 14 | 70 | N/A | N/A |
Time of birth of the placenta | 20 | 100 | 0 | 0 |
Examination of placenta for completeness | 15 | 75 | 92 | 46 |
Episiotomy | 4 | 20 | 39 | 20 |
Correct inspection of perineum and suturing | 17 | 85 | N/A | N/A |
Measure and estimate blood loss | 18 | 90 | 8 | 4 |
Post-partum care | ||||
Mother stays 2 hours in birth room | 2 | 10 | N/A | N/A |
Monitoring of vital signs and blood loss within 2 hours | 19 | 95 | N/A | N/A |
Neonatal care | ||||
Clean environment | 20 | 100 | N/A | N/A |
Immediate care of the newborn within 1 hour | 20 | 100 | N/A | N/A |
Assess apgar scores | 20 | 100 | 200 | 100 |
Clean cord care | 20 | 100 | N/A | N/A |
Measure birth weight | 20 | 100 | 200 | 100 |
Monitoring of vital signs of baby | 6 | 30 | N/A | N/A |
Complications | ||||
Vacuum assisted birth | 1 | 5 | N/A | N/A |
Shoulder dystocia | 1 | 5 | N/A | N/A |
Pre-eclampsia | 1 | 5 | N/A | N/A |
Post-partum haemorrhage (blood loss > 500ml) | 4 | 20 | 11 | 6 |
Post-partum infection | 3 | 15 | 10 | 5 |
Referral to higher level of care | 1 | 5 | N/A | N/A |