Health Condition 1: O82- Encounter for cesarean delivery without indication
Conditions
Interventions
Intervention1: Safety around cesarean sections
decision-making in the 2nd stage of labour and appropriate use of AVD: Each site has 4000 births per annum out of which 1500 are cesarean sections. Each
Sponsors
University of Birmingham
Eligibility
Inclusion criteria
Inclusion criteria: 1. Subjects include healthcare professionals and managers in maternity wards of the selected facilities, as well as women who have given birth in the previous month. 2. Cluster: Health facilities are eligible for inclusion if: 1. Urban or peri-urban public facility 2. Secondary or tertiary-level 3. Providing comprehensive emergency obstetric care (50) over 12 months (see Box 1) 4. Minimum of 4,000 births/ year
Exclusion criteria
Exclusion criteria: Sites used in the field-testing phase will not be eligible to participate in the stepped wedged randomized trial. We will exclude sites if they are not providing Comprehensive Emergency Obstetric and Newborn Care. We will also exclude sites if they were or are, part of another intervention trial, or if any components of the C-Safe interventional package were previously tested on them. Co-enrolment with sites with existing related studies will be discouraged.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Our main outcomes include the following:Caesarean section rate per month, Assisted vaginal birth rate per month, Vaginal birth rate (not including assisted vaginal births) per month, Rates of mode of birth in Robsons groups (1-4) per month, Indications for caesarean sections per month, Use of C-Safe checklists and delivery of the C-Safe packages (C-Op and C-Non) per monthTimepoint: 3, 6 ,9 months | — |
Secondary
| Measure | Time frame |
|---|---|
| secondary outcomes are those on implementation, acceptability, equity and clinical outcomesTimepoint: implementation- 3 months, Acceptability - baseline, 3,6 and 12 months, Clinical - monthly | — |
Countries
India, Tanzania
Contacts
Public ContactDr Radha Reddy
Fernandez Foundation
Outcome results
None listed