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Table 2 Matrix of stages of labour in waiting area and birth room

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  
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