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Table 3 SBA performance observed for prevention and detection of PPH in hospital

From: Quality of care in prevention, detection and management of postpartum hemorrhage in hospitals in Afghanistan: an observational assessment

PREVENTION PRACTICESDistrict HospitalsProvincial, Regional & Specialty Hospitalsp-valuePrivate Hospitals
Number (%) of observations during third stage of laborn = 270n = 379 n = 33
Uterotonic administered198 (73.3%)270 (71.2%)0.21124 (72.7%)
 Oxytocin188 (69.6%)264 (70.0%)0.29721 (63.6%)
 Misoprostol2 (0.7%)0 (0.0%)1 (3.0%)
 Ergometrine0 (0.0%)1 (0.3%)0 (0.0%)
 Recorded type not observed8 (4.0%)5 (1.4%)2 (8.3%)
Uterotonic administered within one minute119 (44.1%)184 (48.6%)0.12116 (48.5%)
DETECTION PRACTICESDistrict HospitalsProvincial, Regional & Specialty Hospitalsp-valuePrivate Hospitals (n = 38)
Number (%) of observation during third stage of labor and immediately postpartumn = 270n = 379 n = 33
Uterus checked immediately following the delivery of the placenta203 (75.2%)266 (70.2%)0.36923 (69.7%)
Placenta and membranes checked for completeness135 (50.0%)207 (54.6%)0.52417 (51.5%)
Perineum and vagina checked for tears185 (68.5%)285 (75.2%)0.03925 (75.8%)
Vital signs checked within 15 min92 (34.1%)102 (27.5%)0.11511 (33.4%)
Uterus palpated within 15 min135 (50.0%)165 (47.4%)0.42413 (37.1%)
Number (%) of observations in inpatient postnatal wardn = 188n = 214p-valuen = 30
Client examined for excessive vaginal bleeding91 (48.4%)79 (36.9%)0.01913 (43.3%)
Client examination includes
 Taking pulse81 (43.1%)58 (27.1%)0.00216 (53.3%)
 Taking blood pressure141 (75.0%)149 (69.6%)0.06523 (76.7%)
 Checks fundus and massage if soft129 (68.6%)104 (48.6%)< 0.00121 (70.0%)