Table 1 Pre- and post-intervention essential birth practice compliance rate
EBP | pre-intervention | post-intervention | P-value |
|---|---|---|---|
Pause point 1. “On admission” | |||
Observations (n) | 106 | 95 | – |
1. Appropriate referral | 100 (100%) | 100 (100%) | 1.000 |
2. Maternal temperature ** | 75 (70.8%) | 51 (53.7%) | 0.014** |
3. Maternal blood pressure | 90 (84.9%) | 81 (85.3%) | 1.000 |
4. Partograph started | 59 (55.7%) | 45 (47.4%) | 0.26 |
5. Birth companion ** | 1 (0.9%) | 7 (7.4%) | 0.028** |
Average | 65 (61%) | 56.8 (60%) | 0.848 |
Pause point 2. “Before pushing and within 1 min after delivery” | |||
Observations (n) | 92 | 98 | |
6. Water used to clean hands | 22 (22.4%) | 18 (18.2%) | 0.483 |
7. Soap used to clean hands | 18 (18.4%) | 17 (17.2%) | 0.854 |
8. Alcohol rub used | 2 (2%) | 3 (3%) | 1.000 |
9. Clean towel ** | 63 (64.3%) | 84 (85.7%) | 0.001** |
10. Clean gloves used | 100(100%) | 100(100%) | 1.000 |
11. Clean scissors/ blade | 88 (89.8%) | 84 (84.8%) | 0.392 |
12. Clean cord ligature/tie ** | 58 (59.2%) | 89 (90.8%) | < 0.001** |
13. Aspiration bulb or Mucus extractor | 66 (67.3%) | 70 (70.7%) | 0.646 |
14. Clean pads for mother ** | 43 (43.9%) | 61 (61.6%) | 0.015** |
15. Oxytocin | 76 (77.6%) | 84 (84.8%) | 0.206 |
16. Birth companion present ** | 0 (0%) | 10 (10.2%) | 0.002** |
Average | 48.7 (53%) | 56.4 (58%) | 0.591 |
Pause point 3. “Within 1 h after delivery” | |||
Observation (n) | 92 | 98 | |
17. Newborn weight taken** | 76 (77.6%) | 94 (94.9%) | < 0.001** |
18. Newborn temperature | 5 (5.1%) | 4 (4.1%) | 1.000 |
19. Neonatal bag and mask prepared | 69 (70.4%) | 69 (69.7%) | 1.000 |
20. Baby placed skin-to-skin** | 48 (49.0%) | 89 (89.9%) | < 0.001** |
21. baby still skin-to-skin at 1 h | 2 (2.0%) | 6 (6.1%) | 0.279 |
22. Breastfeeding initiated** | 32 (32.7%) | 47 (47.5%) | 0.042** |
Average | 38.7 (42%) | 51.5 (53%) | 0.161 |
Pause point 4. “Before discharge” | |||
Observation (n) | 101 | 98 | |
23. Maternal blood pressure obtained** | 14 (13.9%) | 58 (58.6%) | < 0.001** |
24. Mother’s temperature ** | 3 (3.0%) | 54 (54.5%) | < 0.001** |
25. Baby’s temperature | 1 (1.0%) | 5 (5.1%) | 0.115 |
26. Baby’s respiratory rate | 1 (1.0%) | 5 (5.1%) | 0.115 |
27. Baby’s feeding | 89 (88.1%) | 84 (84.8%) | 0.54 |
28. Family planning options discussed | 94 (93.1%) | 88 (88.9%) | 0.333 |
29. Danger signs explained ** | 1 (1.0%) | 66 (66.7%) | < 0.001** |
Average ** | 29 (29%) | 51.4 (52%) | 0.001** |
Overall compliance | |||
Observation (n) | 391 | 389 | |
Overall average ** | 46% | 56% | 0.005** |