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Table 2 Services available for management of childbirth by type of health centre (N = 29 centres included in facility survey)

From: Management and referral for high-risk conditions and complications during the antenatal period: knowledge, practice and attitude survey of providers in rural public healthcare in two states of India

 

PHC, N = 15

Sub-district hospital/CHC, N = 14

Basic birthing services, %

 Sterilised equipment

13 (87%)

14 (100%)

 Injection oxytocin 10 IU within 1 min of delivery

13 (87%)

14 (100%)

 Controlled cord traction & uterine massage

13 (87%)

14 (100%)

 Dry baby immediately after delivery

15 (100%)

14 (100%)

 Place the baby on mother’s abdomen

13 (87%)

11 (79%)

 Weigh baby after delivery

13 (87%)

14 (100%)

 Initiate breast feeding within one hour

15 (100%)

14 (100%)

Basic emergency obstetric care, %

 Parenteral Magnesium sulphate/Diazepam for convulsions

11 (73%)

13 (93%)

 Parenteral antibiotic

14 (93%)

14 (100%)

 Parenteral oxytocin for haemorrhage

14 (93%)

14 (100%)

 Manual removal of placenta/retained products

10 (67%)

12 (86%)

 Delivery with vacuum extraction or forceps*

0 (0%)

8 (57%)

 Induction of labour

6 (40%)

10 (71%)

 Injection Dexamethasone/ Betamethasone to mother for premature labour

12 (80%)

9 (64%)

 New born resuscitation with bag and mask

14 (93%)

14 (100%)

 Injectable antibiotics for newborn sepsis

10 (67%)

10 (71%)

Comprehensive emergency obstetric care, %

 Caesarean section

0 (0%)

4 (29%)

 Blood storage

0 (0%)

2 (14%)

 I/v fluids for newborns

8 (53%)

10 (71%)

 Oxygen for newborns

0 (0%)

4 (29%)

Deliveries conducted per centre over 6 months; median (IQR)

100 (60–131)

111 (64–293)

Referred during labour per centre; median (IQR)**

20 (19–25)

36 (23–43)

  1. *facility is available but not practiced regularly; **data available from 10 CHCs and 9 PHCs only