Skip to main content

Table 3 Results observations and NVD record reviews

From: Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment

 

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

  1. N/A = not applicable, as this cannot be extracted from a patient record.