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Table 3 Adherence (mean percentage of checklist items checked out of total) to each 27-items in modified WHO Safe Childbirth Checklist in both settings

From: Experience with a context-specific modified WHO safe childbirth checklist at two tertiary care settings in Sri Lanka

Checklist item in modified WHO SCC Adherence to each item (%)
DSHW (n = 329) THMG (n = 153)
On admission to Antenatal ward
1. Does mother need referral? 127 (38.6) 99 (64.7)
2. Does mother need to start antibiotics? 121 (36.8) 105 (68.6)
3. Does mother need to start antihypertensives/magnesium sulfate? 120 (36.5) 105 (68.6)
4. Does mother need corticosteroids? 123 (37.4) 105 (68.6)
5. Was mother informed about a birth companion? 118 (35.8) 108 (70.6)
6. Was she informed about PPIUD? 118 (35.8) 105 (68.6)
On admission to labour room
7. Partogram started? 240 (72.9) 48 (31.4)
8. Does mother need antibiotics? 247 (75.1) 42(27.5)
Just before pushing (or before caesarean section)
9. Does mother need to start magnesium sulphate/antihypertensives? 236 (71.7) 39 (25.5)
10. Confirm essential supplies are at bedside
 : For mother 237 (72.0) 36 (23.5)
 : For baby 236 (71.8) 36 (23.5)
11. Informing Paediatric House Officer 240 (73.0) 33 (21.6)
Soon after birth (within 1 h)
12. Maintenance of MEOWS chart 237 (72.0) 30 (19.6)
13. Does mother need antibiotics? 238 (72.3) 36 (23.5)
14. Does mother need to start magnesium sulphate/antihypertensives? 233 (70.8) 36 (23.5)
15. Continuous monitoring of neonate done 232 (70.5) 36 (23.5)
16. Does baby need referral? 233 (70.8) 36 (23.5)
17. Does baby need antibiotics? 225 (68.4) 33 (21.6)
18. Started breastfeeding and skin-to-skin contact 232 (70.5) 36 (23.5)
Before discharge
19. Confirm stay at ward for 24 h after delivery 101 (30.7) 21 (13.7)
20. Does mother need antibiotics? 125 (38.0) 33 (21.6)
21. Is mother’s blood pressure normal? 124 (37.7) 33 (21.6)
22. Is mother bleeding abnormally? 123 (37.4) 33 (21.6)
23. Vaginal exam performed and checked for missing swabs/clots/ infected lochia 120 (36.5) 33 (21.6)
24. Does the baby need antibiotics? 121 (36.8) 33 (21.6)
25. Is baby feeding well? 120 (36.5) 33 (21.6)
26. Discuss and offer family planning options to mother 114 (34.7) 24 (15.7)
27. Arrange follow-up and confirm mother/companion will seek help if danger signs appear after discharge 52 (15.8) 15 (9.8)
  1. A completed item indicates the percentage of women who were checked on the Checklist for requiring the particular task
  2. WHO World Health Organization, SCC Safe Childbirth Checklist, DSHW De Soysa Hospital for Women, THMG Teaching Hospital Mahamodara Galle, PPIUD Postplacental Intrauterine Device, MEOWS Modified Early Obstetric Warning Score