Table 2 Comparison of ‘positive’ labor practices, before and after intervention, across all facilities
Practices | Pre-intervention (%) [n = 842] | Post-intervention (%) [n = 625] | P-valuea |
|---|---|---|---|
Blood pressure monitoring | 126 (14.96) | 165 (26.40) | <0.0001 |
Fetal heart sound monitoring | 102 (12.11) | 85 (13.60) | 0.3989 |
Monitoring of cervical dilatation | 739 (87.77) | 539 (86.24) | 0.3881 |
Blood test for hemoglobin | 2 (0.24) | 26 (4.16) | <0.0001 |
Urine test for protein | 42 (4.99) | 12 (1.92) | 0.002 |
Handwashing by delivery attendant(s) | 211 (25.06) | 430 (68.80) | <0.0001 |
Wearing of gloves by delivery attendant(s) | 331 (39.31) | 567 (90.72) | <0.0001 |
Disposable delivery kit (DDK) or sterile tray used | 141 (16.75) | 237 (37.92) | <0.0001 |
Administration of oxytocics for AMTSL | 185 (21.97) | 410 (65.60) | <0.0001 |
Cord checked for pulsation before clamping | 367 (43.59) | 314 (50.24) | 0.0115 |
Cord clamping after 2 min wait | 582 (69.12) | 530 (84.80) | <0.0001 |
Sterile cord clamp used | 145 (17.22) | 275 (44.00) | <0.0001 |
Sterile blade/scissors used for cutting the cord | 568 (67.46) | 433 (69.28) | 0.4588 |
Controlled counter cord traction | 143 (16.98) | 446 (71.36) | <0.0001 |
Placenta checked for completeness | 356 (42.28) | 340 (54.40) | <0.0001 |
Membrane checked for completeness | 325 (38.60) | 281 (44.96) | 0.0144 |
Genital tract exploration performed after delivery | 685 (81.35) | 563 (90.08) | <0.0001 |
Checked for perineal tear | 563 (66.86) | 483 (77.28) | <0.0001 |
Cleaning of the mother following delivery | 791 (93.94) | 604 (96.64) | 0.0181 |
Use of standard recording format for labor events and parameters | 197 (23.40) | 355 (56.80) | <0.0001 |
Presence of qualified healthcare provider (doctor, trained nurse) at the time of delivery | 791 (93.94) | 610 (97.60) | 0.0008 |