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Table 1 Interview guidesa

From: Health care workers’ perceptions of episiotomy in the era of respectful maternity care: a qualitative study of an obstetric training program in Mexico

Interviewsb

Themes

Questions

Baseline and Follow Up

Perception of key evidence-based practices

❖ Do you know the clinical practice guidelines or standards for emergency obstetric and neonatal care? If yes, could you mention those that seem most relevant to you?

❖ What is the use of applying oxytocin after and immediately after birth? Why do you think so?

❖ What is your opinion about the usefulness of fundal pressure (kristeller, push, boost) and in what cases should it be done? Why do you think so?

What is your opinion on the usefulness of episiotomy and in what cases should it be done? Why do you think so?

❖ From your perspective, at what point should the umbilical cord be clamped (how long should one wait to clamp it)? Why do you think so?

❖ What is your opinion about the usefulness of uterine cleansing (cavity cleaning, cavity check) and in which cases should it be done? Why do you think so?

Only Follow-up

Perception of key evidence-based practices

❖ In the period of time between the first training module and the second module, did you participate in the delivery of one or more euthiotic births? How many?

❖ In these deliveries, were you able to apply any or all of the recommendations and/or evidence-based practices from the PRONTO program training?

➢ [Allow the informant to mention any practices he remembers. In case he does not remember, ask about: oxytocin, kristeller practice, episiotomy, umbilical cord clamping and cavity check]

Perceived key barriers and facilitators of changing practices

❖ What do you think were the aspects that facilitated the implementation of such recommendations or practices?

❖ What do you think were the obstacles or barriers to carrying out such a recommendation or practice?

➢ [If not mentioned, ask about the application of oxytocin, kristeller practice, episiotomy, umbilical cord clamping and cavity check, and ask if any of these practices were performed on any deliveries attended]

Perceptions of the training

❖ What do you see as the areas for improvement in the PRONTO training? (explore both content and implementation)

❖ What is your opinion about the way the trainers gave the course? How could this be improved?

Utility of the training

❖ From your perspective, what would be the most important elements of the training PRONTO brings to your practice in childbirth and obstetric emergencies?

  1. a This table presents all the topics and questions addressed in the interview guide about the following major themes: “key practices of medical interventions during childbirth” and "general perceptions and utility of the training". However, in this article only the data concerning the topic of episiotomy are presented and discussed
  2. b The baseline interview was conducted before the implementation of the training program. The follow-up interview was performed after it