Childbirth Pregnancy and Childbirth
Conditions
Interventions
The SUSTAIN Package is a bundled kit of interventions which empower health care workers to efficiently monitor, provide care, and review care provided during the intrapartum and immediate postpartum p
Sponsors
Grand Challenges Canada
Laerdal Foundation for Acute Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Women with gestational age =22 weeks 2. In labour
Exclusion criteria
Exclusion criteria: 1. Referred from the labour room to operation theatre for delivery 2. Referred to other facilities 3. Do not have fetal heart sound at admission.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To be measured using patient record review: 1. Intrapartum stillbirth-In-utero fetal death during labour after 22 weeks of gestational age with no signs of life (no breathing or no heart rate until 10 minutes of life). 2. First-day neonatal mortality rate 3. Pre-discharge neonatal mortality-death of baby before discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Improvement in the proportion of delivery with fetal heart rate monitoring practice (every half an hour) will be determined using observation. 2. Improvement in the proportion of women to whom Moyo's FHMR is used to monitor fetal heart rate will be determined using observation. 3. Improvement in the proportion of babies heart rate monitored using neo-beat after birth will be determined using observation. 4. Whether maternity care was dignified will be determined by an interview with participating women. 5. Improvement in the proportion of non-breathing babies with bag and mask ventilation at 1 minute will be determined using observation. 6. Whether health workers are competent in neonatal resuscitation immediately after training will be determined using observation. 7. Whether health workers maintain neonatal resuscitation competency 6 months after training will be determined using observation during drills. 8. Whether health workers are competent in immediate newborn care will be determined using observation. 9. The proportion of health workers practicing skill drills in neonatalie at least 8 times in 3-month interval will be determined using observation. 10. The proportion of hospitals conducting bottleneck analysis and quality improvement plan development will be determined using observation. | — |
Countries
Nepal
Contacts
Public ContactAshish;Rejina KC;Gurung
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Outcome results
None listed