SaferBirths Bundle - keeping mothers and babies safe during and after birth
Not Applicable
Completed
- Conditions
- Intrapartum management of labor and childbirthPregnancy and Childbirth
- Registration Number
- ISRCTN30541755
- Lead Sponsor
- Haydom Lutheran Hospital
- Brief Summary
2021 Protocol article in https://pubmed.ncbi.nlm.nih.gov/34663296/ (added 21/10/2021) 2023 Interim results article in https://pubmed.ncbi.nlm.nih.gov/36832384/ Halfway evaluation (added 11/04/2023) 2024 Other publications in https://pubmed.ncbi.nlm.nih.gov/38338204/ Completeness of documentation (added 11/07/2024) 2023 Other publications in https://pubmed.ncbi.nlm.nih.gov/37297729/ Healthcare workers' perceptions (added 11/07/2024)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 297755
Inclusion Criteria
Pregnant women in labor at gestation age of 28 weeks and above with a live foetus at recruitment
Exclusion Criteria
1. Macerated stillbirths
2. Births below 28 weeks
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Perinatal mortality defined as intrapartum stillbirth (i.e. stillborn baby with no signs of life at delivery and >28 weeks of gestation with intact skin and no signs of disintegration in utero) and neonatal death within the first 24 h of life, secondary to birth asphyxia, obtained from hospital records at the end of the study (3 years)
- Secondary Outcome Measures
Name Time Method Obtained from hospital records at the end of the study (3 years):<br>1. Proportion of deliveries with fetal heart rate monitoring as per standard protocol, measured by fetal heart rate monitor (in beats per minute) during the study period <br>2. Proportion of deliveries in which neonates with an abnormal fetal heart rate during labor is followed by neonatal resuscitation using upright/standard bag during the study period <br>3. Proportion of deliveries resulting in emergency cesarean sections and instrumental deliveries by different causes during the study period <br>4. Proportion of non-breathing babies who receive bag and mask ventilation within 1 min of birth using upright/standard bag during the study period<br>5. Proportion of early neonatal morbidities, i.e. resuscitation, encephalopathy, low Apgar score, and admission to neonatal units during the study period<br>6. Proportion of mothers with postpartum haemorrhage managed successfully during the study period