From: The development of the WHO Labour Care Guide: an international survey of maternity care providers
Variables (reference threshold) | Ratings on variables | Ratings on reference thresholds | ||||||
---|---|---|---|---|---|---|---|---|
Relevance | Clarity | Frequency of recording | Clarity | |||||
Median rating | Appropriateness classification | Median rating | Appropriateness classification | Strongly agree or agree n (%) | Median rating | Appropriateness classification | ||
Section 1: Identification | ||||||||
Parity | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Labour onset | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Active labour diagnosis | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Ruptured membranes | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Risk factor | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Section 2: Supportive care | ||||||||
Companion | 9 | Appropriate | 9 | Appropriate | 90 (84) | N/A | N/A | |
Coping | 8 | Uncertain | 7 | Uncertain | 75 (70) | N/A | N/A | |
Pain relief | 9 | Appropriate | 9 | Appropriate | 95 (89) | N/A | N/A | |
Oral fluid | 9 | Appropriate | 9 | Appropriate | 89 (83) | N/A | N/A | |
Posture | 8 | Appropriate | 8 | Appropriate | 80 (75) | N/A | N/A | |
Section 3: Care of the baby | ||||||||
Baseline FHR (< 110, ≥ 160) | 9 | Appropriate | 9 | Appropriate | 96 (90) | 9 | Appropriate | |
FHR deceleration (L) | 9 | Appropriate | 9 | Appropriate | 99 (93) | 9 | Appropriate | |
Amniotic fluid (M+++) | 9 | Appropriate | 9 | Appropriate | 96 (90) | 9 | Appropriate | |
Fetal position (OP, O) | 9 | Appropriate | 9 | Appropriate | 83 (78) | 9 | Appropriate | |
Caput (+++) | 9 | Appropriate | 9 | Appropriate | 80 (75) | 9 | Appropriate | |
Moulding (+++) | 9 | Appropriate | 9 | Appropriate | 73 (69) | 9 | Appropriate | |
Section 4: Care of the mother | ||||||||
Pulse (< 60, ≥ 120) | 9 | Appropriate | 9 | Appropriate | 91 (86) | 9 | Appropriate | |
Systolic BP (< 80, ≥ 140) | 9 | Appropriate | 9 | Appropriate | 86 (81) | 9 | Appropriate | |
Diastolic BP (≥ 90) | 9 | Appropriate | 9 | Appropriate | 87 (82) | 9 | Appropriate | |
Temperature ºC (< 35, ≥ 37.5) | 9 | Appropriate | 9 | Appropriate | 76 (72) | 9 | Appropriate | |
Urine (P++, A++) | 9 | Appropriate | 9 | Appropriate | 63 (59) | 9 | Appropriate | |
Section 5: Labour progress | ||||||||
Contractions per 10 min (≤ 2, > 5) | 9 | Appropriate | 9 | Appropriate | 97 (92) | 9 | Appropriate | |
Duration of contractions (< 20, > 60) | 9 | Appropriate | 9 | Appropriate | 95 (90) | 9 | Appropriate | |
Cervix recorded as 5–10 cm (≥ 2 h to ≥ 6 h) | 9 | Appropriate | 9 | Appropriate | 81 (82) | 9 | Uncertain | |
Descendent | 9 | Appropriate | 9 | Appropriate | 89 (85) | |||
Section 6: Medication | ||||||||
Oxytocin | 9 | Appropriate | 9 | Appropriate | 93 (89) | N/A | N/A | |
Medicine | 9 | Appropriate | 9 | Appropriate | 92 (88) | N/A | N/A | |
IV fluid | 9 | Appropriate | 9 | Appropriate | 92 (88) | N/A | N/A | |
Section 7: Shared decision-making | ||||||||
Assessment | 9 | Appropriate | 9 | Appropriate | 90 (86) | N/A | N/A | |
Plan | 9 | Appropriate | 9 | Appropriate | 91 (87) | N/A | N/A | |
Section 8: Birth outcomes | ||||||||
Mode of birth | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Apgar score at 5 min | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Blood loss | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Neonatal status | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A | |
Birthweight | 9 | Appropriate | 9 | Appropriate | N/A | N/A | N/A |