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Table 3 Univariate and multivariate analysis of providers’ adherence to key clinical practices (%)

From: The role of digital clinical decision support tool in improving quality of intrapartum and postpartum care: experiences from two states of India

Practices Baseline (August –October 2017) Latest (December 2019 – March 2020) p-value
(univariate analysis)
p value
(multivariatea analysis)
On admission
 Records fetal heart rate at admission 46 96 0.004 < 0.001
 Records mother’s BP at admission 46 93 0.007 < 0.001
 Conducts PV examination only as indicated (4 hourly or based) on clinical indication 32 90 < 0.001 < 0.001
 Performs hand hygiene 43 89 0.007 < 0.001
 Provider identifies and manages severe Pre-eclampsia/Eclampsia 2 60 < 0.001 < 0.001
 Initiates Partograph plotting once the Cx dilation is > = 4 cm 27 81 < 0.001 < 0.001
 Provider interprets partograph correctly and adjusts care according to findings 15 51 < 0.001 < 0.001
Just before pushing or at caesarean section
 Preforms hand hygiene 49 96 0.002 < 0.001
 Oxytocin within one minute of delivery of baby 59 96 0.05 < 0.001
 Immediate newborn care 0 74 < 0.001 < 0.001
Soon after delivery (within 1 h)
 Delivers the baby on mother’s abdomen 42 95 0.002 < 0.001
 Thermal management of newborn 15 84 < 0.001 < 0.001
 Weighs the baby 88 99 0.67 0.048
 Initiates breast feeding within one hour of birth 70 99 0.18 0.001
 Provider identifies and manages Post-Partum Haemorrhage 4 59 < 0.001 < 0.001
 Measures baby’s temperature 19 48 0.006 0.021
 Records mother’ s temperature 12 48 < 0.001 0.002
At the time of discharge
 Counsels on danger signs to mother at time of discharge 26 65 0.002 <  0.001
 Counsels on post-partum family planning to mother at discharge 43 98 0.001 <  0.001
 Counsels on exclusive breast feeding to mother at discharge 59 83 0.001 0.001
  1. aafter adjusting for level of facility, average annual delivery load and resource availability for respective practice