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Table 5 Adherence to clinical standards for management of obstetric complications

From: Severe maternal outcomes and quality of care at district hospitals in Rwanda– a multicentre prospective case-control study

Use of uterotonics for Prevention of postpartum haemorrhage

 Target population women giving birth at DH

N1 = 511a

 Oxytocin

485 (94.9%)

 Misoprostol

7 (1.4%)

 All uterotonics

492 (96.3%)

Treatment of PPH

 Target population women severe PPH

N2 = 58

 Oxytocin

38 (65.5%)

 Oxytocin/Removal of retained placenta

7 (12.1%)

 Oxytocin/Misoprostol

3 (5.2%)

 Misoprostol

1 (1.7%)

 Hysterectomy

6 (10.3%)

Use of anticonvulsants

 Target population women with severe (pre-) eclampsia

N3 = 19

 Magnesium sulfate

18 (94.7%)

 Diazepam

1 (5.3%)

Prevention of caesarean section /laparotomy related infection

 Target population undergoing Caesarean section/laparotomy

N4 = 300b

 Prophylactic antibiotics

456 (98.6%)

Treatment of sepsis

 Target population women with sepsis

N5 = 15

 Parenteral therapeutic antibiotics

15 (100%)

  1. a511 cases among SMO and controls gave birth at district hospital
  2. b249 cases of caesarean sections (Table 1) plus 51 cases of laparotomy