Period 1 Baseline | Period 2 Individual skill training | Period 3 Local champions | P value | Period 1 vs 2 | Period 1 vs 3 | Period 2 vs 3 | |
---|---|---|---|---|---|---|---|
01.09.15–31.08.16 | 01.09.16–30.09.17 | 01.10.17–31.08.18 | |||||
Months (n) | 12 | 13 | 11 | ||||
Births (n) | 3572 | 4003 | 2 906 | ||||
Admission from the health center | 3.9 (140) | 5.6 (226) | 5.9 (171) | <0.001a | <0.001a | <0.001a | 0.675a |
Mother had no formal educationb | 9.3 (196) | 8.2 (328) | 6.3 (184) | <0.001a | 0.140a | <0.001a | <0.004a |
Maternal ageb | 26.2 ±6.9 | 26.1 ±6.7 | 26.1 ±6.8 | 0.835c | |||
No antenatal care | 0.9 (33) | 0.9 (35) | 1.0 (28) | 0.928a | |||
Antenatal problem | 1.5 (52) | 2.0 (79) | 2.3 (67) | 0.039a | 0.084a | 0.011a | 0.343a |
Cervical dilatation on admission (cm) | 5.7 ±2.5 | 5.6 ±2.6 | 5.8 ±2.6 | 0.009c | 0.897d | 0.009d | 0.005d |
10-cm cervical dilation on admission | 6.7 (212) | 7.4 (262) | 8.5 (212) | 0.044a | 0.263a | 0.013a | 0.135a |
Hours in labor before admission (h:min) | 5:08 ±2:29 | 4:28 ±2:32 | 4:44 ±2:15 | <0.001c | <0.001d | <0.001d | 0.004d |
Fetal heart rate on admission | 0.001a | 0.001a | 0.006a | 0.744a | |||
Normal (120–160 bpm) | 91.7 (3274) | 93.1 (3724) | 93.2 (2709) | ||||
Abnormal (<120 or >160) | 1.0 (37) | 1.2 (49) | 1.3 (38) | ||||
Not detectable | 0.5 (19) | 0.9 (37) | 0.7 (20) | ||||
Not measured | 6.7 (241) | 4.8 (192) | 4.8 (139) | ||||
Fetal heart rate during labor | <0.001a | <0.001a | <0.001a | 0.022e | |||
Normal (120–160 bpm) | 82.6 (2952) | 85.5 (3423) | 85.5 (2486) | ||||
Abnormal (<120 or >160) | 5.3 (190) | 7.3 (291) | 8.7 (252) | ||||
Not detectable | 0.5 (19) | 1.0 (40) | 0.7 (20) | ||||
Not measured | 11.5 (411) | 6.2 (248) | 5.1 (148) | ||||
Final fetal heart rate before delivery | 134.0 ±14.0 | 132.9 ±17.3 | 132.5 ±17.3 | 0.075c | |||
Mode of delivery | 0.020a | 0.181a | 0.222a | 0.010a | |||
Spontaneous vaginal delivery | 75.3 (2690) | 75.8 (3035) | 75.0 (2179) | ||||
Cesarian delivery | 23.8 (851) | 23.0 (922) | 23.7 (690) | ||||
Assisted breech delivery | 0.6 (22) | 0.5 (22) | 1.1 (31) | ||||
Vacuum extraction | 0.3 (9) | 0.6 (23) | 0.2 (5) | ||||
Others | 0.0 (0) | 0.0 (1) | 0.0 (1) | ||||
Singleton/multiple | 0.353a | ||||||
Singleton | 96.0 (3428) | 96.1 (3847) | 96.6 (2808) | ||||
Multiple | 4.0 (144) | 3.9 (56) | 3.4 (98) | ||||
Labor complicationsf | 2.4 (85) | 2.3 (94) | 2.7 (78) | 0.634a | |||
Uterine rupture | 0.2 (6) | 0.1 (5) | 0.1 (3) | 0.763a | |||
Pre-eclampsia | 0.5 (17) | 0.6 (25) | 0.6 (16) | 0.686a | |||
Eclampsia | 0.3 (9) | 0.2 (7) | 0.5 (14) | 0.056a | |||
Cord prolapse | 0.8 (25) | 0.7 (29) | 0.6 (16) | 0.653a | |||
Prepartum bleeding | 0.7 (23) | 0.8 (31) | 1.0 (28) | 0.348a | |||
Shoulder dystocia | 0.2 (7) | 0.0 (1) | 0.1 (3) | 0.062g |