SaferBirths Bundle - keeping mothers and babies safe during and after birth

SaferBirths Bundle - keeping mothers and babies safe during and after birth: a stepped wedge cluster implementation project in selected public hospitals in Tanzania

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN30541755

Enrollment

200000

Registered

2020-10-12

Start date

2021-03-01

Completion date

Unknown

Last updated

2025-12-01

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

Conditions

Intrapartum management of labor and childbirth Pregnancy and Childbirth

Interventions

The SaferBirths bundle of care is a combination of innovative clinical (therapeutic) and training tools tackling the main causes of perinatal death. Moyo: an effective, user-friendly Fetal Heart Rat

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Pregnant women in labor at gestation age of 28 weeks and above with a live foetus at recruitment

Exclusion criteria

Exclusion criteria: 1. Macerated stillbirths 2. Births below 28 weeks

Design outcomes

Primary

Measure	Time frame
Perinatal mortality defined as intrapartum stillbirth (i.e. stillborn baby with no signs of life at delivery and >28 weeks of gestation with intact skin and no signs of disintegration in utero) and neonatal death within the first 24 h of life, secondary to birth asphyxia, obtained from hospital records at the end of the study (3 years)	—

Secondary

Measure	Time frame
Obtained from hospital records at the end of the study (3 years): 1. Proportion of deliveries with fetal heart rate monitoring as per standard protocol, measured by fetal heart rate monitor (in beats per minute) during the study period 2. Proportion of deliveries in which neonates with an abnormal fetal heart rate during labor is followed by neonatal resuscitation using upright/standard bag during the study period 3. Proportion of deliveries resulting in emergency cesarean sections and instrumental deliveries by different causes during the study period 4. Proportion of non-breathing babies who receive bag and mask ventilation within 1 min of birth using upright/standard bag during the study period 5. Proportion of early neonatal morbidities, i.e. resuscitation, encephalopathy, low Apgar score, and admission to neonatal units during the study period 6. Proportion of mothers with postpartum haemorrhage managed successfully during the study period	—

Measure

Time frame

Obtained from hospital records at the end of the study (3 years): 1. Proportion of deliveries with fetal heart rate monitoring as per standard protocol, measured by fetal heart rate monitor (in beats per minute) during the study period 2. Proportion of deliveries in which neonates with an abnormal fetal heart rate during labor is followed by neonatal resuscitation using upright/standard bag during the study period 3. Proportion of deliveries resulting in emergency cesarean sections and instrumental deliveries by different causes during the study period 4. Proportion of non-breathing babies who receive bag and mask ventilation within 1 min of birth using upright/standard bag during the study period 5. Proportion of early neonatal morbidities, i.e. resuscitation, encephalopathy, low Apgar score, and admission to neonatal units during the study period 6. Proportion of mothers with postpartum haemorrhage managed successfully during the study period

—

Countries

Tanzania

Contacts

Public ContactPaschal Mdoe

pfmdoe@gmail.com+255 (0)754429346

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 14, 2026