Hand hygiene during facility-based childbirth in Cambodia: a theory-driven, mixed-methods observational study

Table 2 Definition and description of flows and aseptic procedures used for the analysis

Flow	Labour	Delivery	Newborn Aftercare
Description	Vaginal examinations	Approximated to begin as birth attendants were donning full personal protective equipment and concluded after the delivery of the placenta^a	Approximated to begin when contact with the newborn is made to separate from the mother for initial weighing & body inspection and concluded when the newborn is brought back to the mother
Description	Vaginal examinations	Suturing of the perineum^b
Aseptic procedures of interest	Vaginal wiping	Artificial rupture of membranes	Newborn full body inspection
	Fingers in vagina	Episiotomy	Umbilical cord examination
		Assisted delivery using forceps or vacuum	Newborn immunisation
		Newborn delivered
		Newborn cleaned
		Controlled cord traction
		Placenta delivered including manual removal
		Sweeping of uterus post-delivery
		Vaginal & rectal examination post- delivery
		Perineum sutured
		Vaginal & rectal examination post- suturing
		Vaginal wiping

^aAny procedures that were done on the newborn baby prior to its first separation from the mother for weighing and body examination were considered part of the delivery flow
^bA separate delivery flow would be indicated if suturing of the perineum was performed

ISSN: 1471-2393