TABLE 1. Essential Birth Practices Observed by Peer Coaches, by SCC Pause Pointa
Pause Point 1:
On Admission
Pause Point 2:
Before Pushing
Pause Point 3:
Within 1 Hour of Delivery
Pause Point 4:
Before Discharge
  • Mother's temperature on admission

  • Mother's blood pressure on admission

  • Measurement of fetal heart sounds

  • Vaginal exam done

    • If yes, hand hygiene before exam (soap and water or alcohol rub)

    • If yes, gloves worn for exam

  • Danger signs explained to mother or birth companion at admission

  • Checklist use at admission

  • Mother's temperature before delivery

  • Mother's blood pressure before delivery

  • Clean towel available at bedside

  • Gloves available at bedside

  • Pads available at bedside

  • Oxytocin available at bedside

  • Blade available at bedside

  • Cord ligature available at bedside

  • Mucus extractor available at bedside

  • Neonatal bag and mask available at bedside

  • Hand hygiene before delivery (soap and water or alcohol rub)

  • Checklist use before delivery

  • Glove use at birth

  • Was baby breathing assessed at birth?

  • Skin-to-skin immediately after birth

  • Oxytocin given 1 minute after birth

  • Check bleeding after delivery

  • Mother's temperature after delivery

  • Mother's blood pressure after delivery

  • Baby's temperature after delivery

  • Baby's weight

  • Breastfeeding initiation

  • Danger signs explained to mother or birth companion after delivery

  • Skin-to-skin at 1 hour

  • Checklist use after delivery

  • Check bleeding before discharge

  • Mother's temperature before discharge

  • Baby's temperature before discharge

  • Check baby breathing before discharge

  • Check baby feeding before discharge

  • BCG vaccine given

  • OPV given

  • Family planning discussed

  • Danger signs explained to mother or birth companion before discharge

  • Checklist use before discharge

  • Abbreviations: BCG, bacille Calmette-Guérin; OPV, oral polio vaccine; SCC, Safe Childbirth Checklist.

  • a Bolded practices (n=18) were observed by both coaches and independent observers.