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Table 1 Pre- and post-intervention essential birth practice compliance rate

From: Implementing the World Health Organization safe childbirth checklist in a district Hospital in Rwanda: a pre- and post-intervention study

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**
  1. **Statistically significant at P = 0.05