Table 2 The intrapartum health service variables classified by hospital level
From: Contributing factors of birth asphyxia in Thailand: a case–control study
Provider variables | Hospital level | |||
|---|---|---|---|---|
University ( n = 3) | Advanced ( n = 5) | Secondary ( n = 15) | Total ( n = 23) | |
- Obstetricians | 17 | 32 | 59 | 108 |
- Resident/general physicians | 72 | 28 | - | 100 |
- Nurse-widwives | 71 | 81 | 173 | 325 |
Registered nurse | 67 | 72 | 146 | 285 |
Specialized nurse | 3 | 7 | 20 | 30 |
Advanced practice nurse | 1 | 2 | 7 | 10 |
Nurse-midwife experience | ||||
≤ 3 years | 24 (33.80%) | 17 (20.90%) | 41 (23.70%) | 82 (25.23%) |
4–9 years | 15 (21.13%) | 25 (30.86%) | 58 (33.53%) | 98 (30.15%) |
≥ 10 years | 32 (45.07%) | 39 (48.15%) | 74 (42.77%) | 145 (44.62%) |
Obstetrician-to-client ratio | ||||
- Median | 1440.75 | 1023.33 | 537.00 | 551.60 |
- Range | 209.71–1519.50 | 400.22–1189.25 | 277.86–1468.00 | 209.71–1519.50 |
Nurse-to-client ratio | ||||
- Median | 260.49 | 290.38 | 184.46 | 209.75 |
- Range | 97.87–274.43 | 257.29–383.75 | 71.43–300.00 | 71.43–383.75 |
Average nurse work-hours (hours/week) | ||||
- Mean ± SD | 37.8 ± 2.57 | 47.90 ± 4.48 | 47.58 ± 6.90 | 46.38 ± 6.78 |
- Range | 35.00–40.00 | 42.00–54.00 | 36.75–56.00 | 35.00–56.00 |
Nursing care model | ||||
Team | 2 (66.67%) | 3 (60.00%) | 9 (60.00%) | 14 (60.87%) |
Primary | 1 (33.33%) | 1 (20.00%) | 4 (26.67%) | 6 (26.09%) |
Combined team and primary | – | 1 (20.00%) | 2 (13.33%) | 3 (13.04%) |
Appropriate nurse staff allocation/shift | ||||
Day (08:00 am–04:00 pm) | 2 (66.67%) | 1 (20.00%) | 14 (93.33%) | 17 (73.91%) |
Afternoon (04:00 pm–12:00 am) | 2 (66.67%) | 1 (20.00%) | 12 (80.00%) | 15 (65.22%) |
Night (12:00 am–08:00 am) | 2 (66.67%) | 3 (60.00%) | 15 (100%) | 20 (86.96%) |
In-house training programme | ||||
Partograph use | 3 (100%) | 5 (100%) | 10 (6.67%) | 18 (78.26%) |
Cardiotocograph monitoring | 3 (100%) | 5 (100%) | 11 (73.33%) | 19 (82.61%) |
Obstetric emergency management | 2 (66.67%) | 4 (80.00%) | 10 (66.67%) | 16 (69.57%) |
Neonatal resuscitation | 3 (100%) | 4 (80.00%) | 14 (93.33%) | 21 (91.30%) |