作者
Katherine EA Semrau, Kate A Miller, Stuart Lipsitz, Jennifer Fisher-Bowman, Ami Karlage, Bridget A Neville, Margaret Krasne, Jonathon Gass, Amanda Jurczak, Vinay Pratap Singh, Shambhavi Singh, Megan Marx Delaney, Lisa R Hirschhorn, Bhalachandra Kodkany, Vishwajeet Kumar, Atul A Gawande
发表日期
2020/9/1
期刊
BMJ Global Health
卷号
5
期号
9
页码范围
e002268
出版商
BMJ Specialist Journals
简介
Background
Evidence-based practices that reduce childbirth-related morbidity and mortality are core processes to quality of care. In the BetterBirth trial, a matched-pair, cluster-randomised controlled trial of a coaching-based implementation of the WHO Safe Childbirth Checklist (SCC) in Uttar Pradesh, India, we observed a significant increase in adherence to practices, but no reduction in perinatal mortality.
Methods
Within the BetterBirth trial, we observed birth attendants in a subset of study sites providing care to labouring women to assess the adherence to individual and groups of practices. We observed care from admission to the facility until 1 hour post partum. We followed observed women/newborns for 7-day perinatal health outcomes. Using this observational data, we conducted a post-hoc, exploratory analysis to understand the relationship of birth attendants’ practice adherence to perinatal mortality …
学术搜索中的文章
KEA Semrau, KA Miller, S Lipsitz, J Fisher-Bowman… - BMJ Global Health, 2020