Effect of a labor triage checklist and ultrasound on obstetric referral at three primary health centers in Eastern Uganda.

ABSTRACT:

Objective

To test whether introduction of a midwife-performed triage checklist and focused ultrasound improves diagnosis and referral for obstetric conditions, including multiple gestation, placenta previa, oligohydramnios, preterm birth, malpresentation, and abnormal fetal heart rate.

Methods

We implemented an intake log (Phase 1), a checklist (Phase 2), and a checklist plus ultrasound scan (Phase 3) at three primary health centers in Eastern Uganda for women presenting in labor. Intake diagnoses, referral status, and delivery outcomes were assessed, as well as sensitivity and positive predictive value (PPV).

Results

Between February 2018 and July 2019, 1155, 961, and 603 women were enrolled across the three phases (n=2719); 2339 had outcome data. Incidence of any ou

SUBMITTER: Santos N 

PROVIDER: S-EPMC7984058 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature