Number and Proportion of Hospitals With Delivery and Immediate Newborn Protocols and Practices Consistent With WHO Recommendations by Assessment Method, China, December 2015
| Intervention | Protocol Self-Report via Mail Survey (n=13) No. (%) | Protocol Onsite Hospital Review (n=10) No. (%) | Observed Delivery Practice (n=10) No. (%) |
|---|---|---|---|
| Companion and position of choice for all deliveries | 5 (39) | 3 (30) | 3 (30) |
| Maternal and fetal monitoring during labor including use of the partograph | 13 (100) | 10 (100) | 10 (100) |
| Corticosteroids for women of 24 to 34 weeks' gestation who are at risk of preterm delivery | 13 (100) | 10 (100) | 10 (100) |
| Bag and mask resuscitation kit available for every delivery, positioned within 2 meters of delivery bed | 11 (85) | 6 (60) | 4 (40) |
| Drying started within 5 seconds after birth | 7 (54) | 4 (40) | 2 (20) |
| Dried the baby thoroughly (wiped the eyes, face, head, front, back, arms, and legs) | 0 (0) | 0 (0) | 0 (0) |
| No routine suctioning | 0 (0) | 0 (0) | 0 (0) |
| Delayed cord clamping performed 1 to 3 minutes after birth, after cord pulsations have stopped | 4 (31) | 3 (30) | 0 (0) |
| Clamp/tie placed at 2 cm, forceps at 5 cm from umbilical base | 13 (100) | 10 (100) | 10 (100) |
| No placing substances on the cord stump | 0 (0) | 0 (0) | 0 (0) |
| Skin-to-skin contact for a minimum of 90 minutes for newborns without complications | 3 (23) | 0 (0) | 0 (0) |
| Intramuscular oxytocin given to mother within 1 minute | 13 (100) | 10 (100) | 10 (100) |
| All routine newborn care (e.g., eye care, vitamin K, immunizations, and examinations) delayed until after a full breastfeeding | 2 (15) | 2 (20) | 0 (0) |
| First dose of hepatitis B vaccine given within 24 hours of birth | 13 (100) | 10 (100) | 10 (100) |
| Single dose of BCG vaccine given within 24 hours of birth | 13 (100) | 10 (100) | 10 (100) |
| No bathing of the newborn until at least 24 hours after delivery | 13 (100) | 10 (100) | 10 (100) |
| KMC for preterm babies weighing ≤2000 g at birth, including feeding with breast milk and monitoring for complications | 3 (23) | 1 (10) | 0 (0) |
Abbreviations: BCG, bacillus Calmette-Guérin; KMC, kangaroo mother care.