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

PREVENTION PRACTICES

District Hospitals

Provincial, Regional & Specialty Hospitals

p-value

Private Hospitals

Number (%) of observations during third stage of labor

n = 270

n = 379

n = 33

Uterotonic administered

198 (73.3%)

270 (71.2%)

0.211

24 (72.7%)

 Oxytocin

188 (69.6%)

264 (70.0%)

0.297

21 (63.6%)

 Misoprostol

2 (0.7%)

0 (0.0%)

1 (3.0%)

 Ergometrine

0 (0.0%)

1 (0.3%)

0 (0.0%)

 Recorded type not observed

8 (4.0%)

5 (1.4%)

2 (8.3%)

Uterotonic administered within one minute

119 (44.1%)

184 (48.6%)

0.121

16 (48.5%)

DETECTION PRACTICES

District Hospitals

Provincial, Regional & Specialty Hospitals

p-value

Private Hospitals (n = 38)

Number (%) of observation during third stage of labor and immediately postpartum

n = 270

n = 379

n = 33

Uterus checked immediately following the delivery of the placenta

203 (75.2%)

266 (70.2%)

0.369

23 (69.7%)

Placenta and membranes checked for completeness

135 (50.0%)

207 (54.6%)

0.524

17 (51.5%)

Perineum and vagina checked for tears

185 (68.5%)

285 (75.2%)

0.039

25 (75.8%)

Vital signs checked within 15 min

92 (34.1%)

102 (27.5%)

0.115

11 (33.4%)

Uterus palpated within 15 min

135 (50.0%)

165 (47.4%)

0.424

13 (37.1%)

Number (%) of observations in inpatient postnatal ward

n = 188

n = 214

p-value

n = 30

Client examined for excessive vaginal bleeding

91 (48.4%)

79 (36.9%)

0.019

13 (43.3%)

 Taking pulse

81 (43.1%)

58 (27.1%)

0.002

16 (53.3%)

 Taking blood pressure

141 (75.0%)

149 (69.6%)

0.065

23 (76.7%)

 Checks fundus and massage if soft

129 (68.6%)

104 (48.6%)

< 0.001

21 (70.0%)