An infection control intervention study: Using infection control as an entry point for improving the quality of delivery care and strengthening health systems in developing countries

An infection control intervention study incorporating an interrupted time series with control: Using infection control as an entry point for improving the quality of delivery care and strengthening health systems in developing countries

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN03513186

Enrollment

6000

Registered

2010-11-25

Start date

2011-01-01

Completion date

Unknown

Last updated

2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Maternal infections during childbirth Pregnancy and Childbirth Other puerperal infections

Interventions

Our intervention will have four core infection control elements, and a fifth element of appreciative inquiry as indicated below. 1. Improvement of surveillance systems for infection control 2. Operat

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: 1. Women who delivered in the intervention and control hospitals (Gujarat state), who subsequently contract (puerperal) infection of the genital tract 2. Women in whom infections of the genital tract are identified after delivery, up to 42 days post partum 3. Puerperal infections are defined as those specified in ICD-10 codes 085 and 086 (see annex 1): 3.1. Puerperal sepsis 3.2. Other puerperal infections 3.3. Infection of obstetric surgical wound 3.4. Other infection of genital tract following delivery 3.5. Urinary tract infection following delivery 3.6. Other genital tract infection following delivery 3.7. Pyrexia of unknown origin following delivery 3.8. Other specified puerperal infections 4. Any woman over 28 weeks gestation who delivers a baby (live or stillborn) in any of the control or intervention hospitals 5. Any woman over 28 weeks gestation who has delivered a baby (in any location be it in the community, a study site or a non-study hospital) who is admitted with the placenta undelivered

Exclusion criteria

Exclusion criteria: 1. Any woman who delivers a baby (live or stillborn) less than 28 weeks gestation. 2. Miscarriage and abortion cases Note: Often, these cases are seen in out-patients or admitted in a different ward and are classified as 'gynaecologic' cases and not 'obstetric' cases 3. Any woman admitted to the study site after delivery of the placenta

Design outcomes

Primary

Measure	Time frame
1. Puerperal infections in women who deliver in study health facilities including 1.1. Bloodstream 1.2. Reproductive tract 1.3. Wound infections	—

Secondary

Measure	Time frame
1. Antibiotic use 2. Duration of hospital stay	—

Countries

India

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 8, 2026