From: Quality of care during childbirth in Tanzania: identification of areas that need improvement
Stage | Latent | Early first | Late first | Early second | Late second | Third | |
---|---|---|---|---|---|---|---|
Location | Waiting area | Birth room | Â | ||||
Birth expected | Birth not imminent | Birth imminent | NA | ||||
Labour | Not in labour | Beginning in labour | In labour | After birth | |||
Cervix | Tip of finger, closed,<4 cm | 3-7cm | 7or 8cm | 8or9cm | Fully dilated head high/far | Fully dilated head close | NA |
Time allowed | Days | Up to 1 day | Up to 6 hours | Up to 4 hours | 1-2 hours | 1 hour | 5-15min |
Nursing proximity | Far | Hearing distance | Close by | ||||
Monitoring frequency | None | 4hourly, upon shift change, doctors round, upon request | Frequent | None | |||
Monitoring activity | None | Cervical dilatation, foetal heart rate | Cervical dilatation | None | |||
Care seeking | Woman needs to approach the nurse by walking to the nursing station | Nurse will approach the woman, woman can ask for help when nurses are in hearing distance or on the labour ward | |||||
Visitors/birth companion | Allowed on set times inside but women are able to go outside as they please | Not Allowed, only when instructed by nursing staff to bring supplies and materials | |||||
Mobility | Women are able to walk around freely, urinate at the toilet, can position herself in any way but has to lie flat on her back during examination | Women are confined to the labour bed, urinate in a basin next to the labour bed which is brought by the woman herself, has to position herself lying flat on her back for pushing or other nursing activities | |||||
Food and drink | Is allowed to eat and drink as she pleases | Is only allowed tea when this is instructed by the staff |