Modification of oxytocin use through a coaching-based intervention based on the WHO Safe Childbirth Checklist in Uttar Pradesh, India: a secondary analysis of a cluster randomised controlled trial
| Autor: | Tapan Kalita, Brandon J. Neal, Rose L. Molina, Megan Marx Delaney, Rachel Ketchum, Becky Hawrusik, Katherine Semrau, Kate Miller, Shambhavi Singh, Vishwajeet Kumar |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Resuscitation Population India Oxytocin World Health Organization law.invention Randomized controlled trial law Pregnancy medicine Childbirth Cluster Analysis Humans Cluster randomised controlled trial education reproductive and urinary physiology Perinatal Mortality education.field_of_study Obstetrics business.industry Infant Newborn Parturition Obstetrics and Gynecology Mentoring Delivery Obstetric Quality Improvement Checklist Female Guideline Adherence business Neonatal resuscitation medicine.drug |
| Zdroj: | BJOG : an international journal of obstetrics and gynaecologyReferences. 128(12) |
| ISSN: | 1471-0528 |
| Popis: | OBJECTIVE To understand the prevalence of intrapartum oxytocin use, assess associated perinatal and maternal outcomes, and evaluate the impact of a WHO Safe Childbirth Checklist intervention on oxytocin use at primary-level facilities in Uttar Pradesh, India. DESIGN Secondary analysis of a cluster-randomised controlled trial. SETTING Thirty Primary and Community public health facilities in Uttar Pradesh, India from 2014 to 2017. POPULATION Women admitted to a study facility for childbirth at baseline, 2, 6 or 12 months after intervention initiation. METHODS The BetterBirth intervention aimed to increase adherence to the WHO Safe Childbirth Checklist. We used Rao-Scott Chi-square tests to compare (1) timing of oxytocin use between study arms and (2) perinatal mortality and resuscitation of infants whose mothers received intrapartum oxytocin versus who did not. MAIN OUTCOME MEASURES Intrapartum and postpartum oxytocin administration, perinatal mortality, use of neonatal bag and mask. RESULTS We observed 5484 deliveries. At baseline, intrapartum oxytocin was administered to 78.2% of women. Two months after intervention initiation, intrapartum oxytocin (I) was administered to 32.1% of women compared with 70.6% in the control (C) (P |
| Databáze: | OpenAIRE |
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