Table 1 Pregnancy and labour characteristics and outcomes
From: Quality of intrapartum care: direct observations in a low-resource tertiary hospital
Parameter | N(%)* |
|---|---|
Maternal age in years, mean (SD) | 26.4 (6.3) |
Parity | |
Nulliparous | 86 (53.4) |
Multiparous | 75 (46.5) |
Singleton | 157 (97.5) |
Twin | 4 (2.5) |
Presentation | |
Cephalic | 150 (93.2) |
Breech | 11 (6.8) |
Number of antenatal care visits, mean (SD) | 3.7 (1.3) |
Referral pathway | |
From home | 153 (95.0) |
Referral from another health facility | 8(5.0) |
Known gestational age by last menstrual period/Ultrasound | 72 (44.7%) |
Gestational age by last menstrual period/ultrasound, in weeks, mean (SD) | 39.0 (2.8) |
Fundal height in cm, mean (SD) | 34.4 (3.5) |
Cervical dilatation on admission | |
< 4 cm cervical dilatation | 51 (31.5) |
≥ 4 cm cervical dilatation | 110 (67.9) |
Cervical dilatation at admission in cm, median (IQR) | 5 (3–7) |
Duration of observation in minutes, median (IQR) | 290 (135–570) |
Risk category on admission | |
Low-risk | 110(68.3) |
High-risk | 51 (31.6) |
Intrapartum risk events | |
None | 92 (57.1) |
Meconium-stained liquor | 20 (12.4) |
Abnormal FHR | 8 (5.0) |
Oxytocin use (including induction of labour) | 51 (31.7) |
Maternal pyrexia | 2 (1.2) |
Action line on partograph crossed | 37 (25.0) |
Mode of Delivery | |
Spontaneous vaginal delivery (SVD) | 134 (83.2) |
Vacuum | 5 (3.1) |
Caesarean Section | 21 (13.0) |
SVD and Caesarean Section (twin) | 1 (0.6) |
Delivery Location | |
Labour ward | 90 (55.6) |
Delivery Room | 46 (28.4) |
Theatre | 24 (14.9) |
Delivery Room and Theatre (twin) | 1(0.6) |
Perinatal outcomes (Total number of neonates = 165) | |
Birthweight, grams, mean (SD) | 3152.6 (535) |
Apgar score < 7 at 1 min** | 23 (14.3) |
Apgar score < 7 at 5 min** | 4 (2.5) |
Resuscitation** | 9 (5.6) |
Admission to neonatal unit** | 13 (8.3) |
Intrapartum stillbirth (i.e. presence of foetal heart rate on admission)*** | 4 (2.4) |
Neonatal deaths before discharge | 0 (0.0) |