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Table 2 Assessment of LCG components

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
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Reproductive Health

ISSN: 1742-4755