Do facility-based audits help West African hospitals to provide better care for patients with obstetric emergencies?

Not Applicable

Completed

• Conditions: Major life-threatening obstetric complications: haemorrhage, uterine rupture, eclampsia, septicaemia; Pregnancy and Childbirth; Obstetric death of unspecified cause

• Registration Number: ISRCTN67206260
• Lead Sponsor: European Commission (Belgium) - Research Directorate-General

Brief Summary

2014 results in https://pubmed.ncbi.nlm.nih.gov/24886218/ (added 30/12/2020)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2008-10-21
• Study Completion: 2010-10-31
• Last Update Posted: 11 January 2021

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 51

Inclusion Criteria

1. District hospitals, supplemented by regional hospitals where number of eligible district hospitals was insufficient
2. Minimum number of births/year: 500 in Benin, 600 in Burkina Faso, 1000 in Niger
3. Minimum 50 caesarean sections/year

Exclusion Criteria

1. Audits of obstetric near-miss morbidity already underway
2. Insecurity (Niger, desert region)
3. Unclear status as in health system (certain confessional hospitals in Benin)
4. Inability of key staff to communicate in French (Hospital in Burkina Faso run by Chinese Cooperation)

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> 1. Quality of care score, based on compliance with adapted WHO treatment guidelines<br> 2. Delay between decision for and start of emergency caesarean section<br> 3. Perinatal mortality in mature newborns without malformations and, in the case of stillbirths, without signs of maceration. Maturity defined as gestational age greater than or equal to 35 weeks or gestational age greater than or equal to 8 months or birth weight greater than or equal to 200 g or length greater than or equal to 45 cm<br><br> Comparison based on period month -6 to -1 before audit training versus period month +7 to +24 after audit training, with period month +1 to +6 considered as run-in period.<br>

Secondary Outcome Measures

Name	Time	Method
Secondary analyses will be used to generate hypotheses only, not to judge the success of the audit interventions.