Using direct clinical observation to assess the quality of cesarean delivery in Afghanistan: an exploratory study.

ABSTRACT:

Background

As part of a National Emergency Obstetric and Newborn Care (EmONC) Needs Assessment, a special study was undertaken in July 2010 to examine the quality of cesarean deliveries in Afghanistan and examine the utility of direct clinical observation as an assessment method in low-resource settings.

Methods

This cross-sectional assessment of the quality of cesareans at 14 facilities in Afghanistan included a survey of surgeons regarding their routine cesarean practices, direct observation of 29 cesarean deliveries and comparison of observations with facility records for 34 additional cesareans conducted during the 3 days prior to the observation period at each facility. For both observed cases and record reviews, we assessed time intervals between specified points of ca

SUBMITTER: Evans CL 

PROVIDER: S-EPMC4062280 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature