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Table 4 Mean percentages of QoC scores for different components of maternal and newborn complications management and blood transfusion services in DH

From: Quality of maternal and newborn healthcare services in two public hospitals of Bangladesh: identifying gaps and provisions for improvement

Components of maternal and newborn complications management and blood transfusion services

% of QoC score

Number of activities observeda

Mean % of activities performed

Management of maternal complications

 Availability of drugs, equipment, and supplies

4

89.5

 Management of hypovolemic shock

4–14

81.9

 Evaluation of patient’s response and next step

6–11

67.7

 Diagnosis of incomplete abortion

6–7

90.5

 Management of incomplete abortion

5–8

68.8

 Diagnosis of pre-eclampsia/eclampsia

3–4

91.7

 Management of severe pre-eclampsia and/or eclampsia

11–16

76.0

 Diagnosis of PPH

1

100.0

 General management of PPH

14–17

62.3

 Cause-specific management of PPH

1–12

49.0

 Follow-up of the PPH patient

6–8

59.9

Sick newborn care

 Receiving patient, history-taking, and explanation of the condition

5

70.0

 Appropriate diagnosis and management of a preterm/low-birth-weight neonate

12–15

31.7

 Diagnosis of neonatal sepsis and appropriate referral if required

8–9

53.0

 Diagnosis of neonatal jaundice and appropriate referral if required

6–9

51.9

Blood transfusion services

 Cordial receiving of the patient and response to any query

4

55.0

 Assessment of the donor for fitness of blood donation

4

75.0

 Blood-collection procedure

6

91.7

 Appropriate blood transfusion procedure

9–10

86.8

  1. QoC Quality of care, DH District hospital, MCWC Mother and child welfare centre, PPH Postpartum hemorrhage
  2. aNumber of applicable activities varied from case to case