Local adaption of intrapartum clinical guidelines, United Republic of Tanzania.

ABSTRACT:

Problem

Gaps exist between internationally derived clinical guidelines on care at the time of birth and realistic best practices in busy, low-resourced maternity units.

Approach

In 2014-2018, we carried out the PartoMa study at Zanzibar's tertiary hospital, United Republic of Tanzania. Working with local birth attendants and external experts, we created easy-to-use and locally achievable clinical guidelines and associated in-house training to assist birth attendants in intrapartum care.

Local setting

Around 11 500 women gave birth annually in the hospital. Of the 35-40 birth attendants employed, each cared simultaneously for 3-6 women in labour. At baseline (1 October 2014 to 31 January 2015), there were 59 stillbirths per 1000 total births and 52 newborns with an Apg

SUBMITTER: Maaloe N 

PROVIDER: S-EPMC6747036 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature