Table 2 Items composing the 20-item quality of maternal care index, Tripathi (2015)
Initial client assessment and examination | |
1. Checks woman’s HIV status (checks chart or asks woman) and/or offers woman HIV test | |
2. Asks whether woman has experienced headaches or blurred vision | |
3. Asks whether woman has experienced vaginal bleeding | |
4. Takes blood pressure | |
5. Takes pulse | |
6. Washes his/her hands before any examination | |
7. Wears high-level disinfected or sterile gloves for vaginal examination | |
First stage of labor | |
8. At least once, explains what will happen in labor to the woman and/or her support person | |
9. Prepares uterotonic drug to use for AMTSL | |
10. Uses partograph (during labor) | |
11. Self-inflating ventilation bag (500 mL) and face masks (size 0 and size 1) are laid out and ready for use for neonatal resuscitation | |
Second and third stage of labor | |
12. Correctly administers uterotonic (timing, dose, route) | |
13. Assesses completeness of placenta and membranes | |
14. Assesses for perineal and vaginal lacerations | |
Immediate newborn and postpartum care | |
15. Immediately dries baby with towel | |
16. Places newborn on mother’s abdomen skin-to-skin | |
17. Ties or clamps cord when pulsations stop, or by 2–3 min after birth (not immediately after birth) | |
18. Takes mother’s vital signs | |
19. Palpates uterus | |
20. Assists mother to initiate breastfeeding within one hour |