Characteristics | Baseline | Implementation of HBB CQI frequent training and the Safer Births project | ||||||
Year | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | Total |
Births, n | 4893 | 4813 | 4787 | 4836 | 4296 | 3731 | 3766 | 31 122 |
Source of admissions | ||||||||
Referrals | 181 (4.6) | 90 (1.9) | 73 (1.5) | 211 (4.4) | 168 (3.9) | 111 (3.0) | 193 (5.1) | 1027 (3.4) |
Home | 3778 (95.4) | 4723 (98.1) | 4714 (98.5) | 4624 (95.6) | 4128 (96.1) | 3620 (97.0) | 3571 (94.9) | 29 158 (96.6) |
Pregnancy complications | ||||||||
Yes | 49 (1.0) | 42 (0.9) | 42 (0.9) | 65 (1.3) | 36 (0.8) | 33 (0.9) | 76 (2.0) | 343 (1.1) |
Singleton birth | 3813 (96.3) | 4662 (96.9) | 4607 (96.2) | 4663 (96.4) | 4123 (96.0) | 3593 (96.3) | 3611 (95.9) | 29 072 (96.3) |
Multiple birth | 147 (3.7) | 151 (3.1) | 178 (3.9) | 173 (3.5) | 173 (4,1) | 138 (3.750) | 155 (4.1) | 1117 (3.7) |
FHR measurements | ||||||||
Normal | 4647 (95.0) | 4540 (94.3) | 4477 (93.5) | 4078 (84.3) | 3438 (80.0) | 3039 (81.8) | 3108 (82.5) | 27 327 (87.8) |
Abnormal FHR | 97 (2.0) | 136 (2.8) | 183 (3.8) | 123 (2.5) | 191 (4.4) | 158 (4.2) | 212 (5.6) | 1100 (3.5) |
Not detectable | 96 (2.0) | 92 (1.9) | 90 (1.9) | 96 (2.0) | 74 (1.7) | 69 (1.8) | 77 (2.0) | 594 (1.9) |
Not measured | 52 (1.1) | 45 (0.9) | 37 (0.9) | 539 (11.1) | 593 (13.8) | 464 (12.4) | 369 (9.8) | 2099 (6.7) |
Labour complication | ||||||||
Yes | 710 (14.5) | 777 (16.1) | 841 (17.6) | 1113 (23.0) | 1006 (23.4) | 892 (23.9) | 910 (24.2) | 6249 (20.1) |
No | 4183 (85.5) | 4036 (83.9) | 3946 (82.4) | 3723 (77.0) | 3290 (76.6) | 2839 (76.1) | 2856 (75.8) | 24 873 (79.9) |
Fetal presentation | ||||||||
Cephalic | 4586 (93.8) | 4490 (93) | 4470 (93.4) | 4537 (93.9) | 4073 (94.8) | 3566 (95.6) | 3696 (95.5) | 29 318 (94.2) |
Breech | 167 (3.4) | 179 (3.7) | 180 (3.8) | 202 (4.2) | 172 (4.0) | 144 (3.9) | 138 (3.7) | 1182 (3.8) |
Shoulder dystocia | 10 (0.2) | 12 (0.2) | 14 (0.3) | 80 (1.7) | 51 (1.2) | 20 (0.5) | 6 (0.2) | 193 (0.6) |
Transverse | 27 (0.6) | 14 (0.3) | 20 (0.4) | 31 (0.4) | 27 (0.6) | 18 (0.5) | 24 (0.6) | 170 (0.5) |
Others | 101 (2.1) | 118 (2.5) | 103 (2.2) | 9 (0.2)* | 0 (0)* | 0 (0)* | 25 (0.7)* | 354 (1.1) |
Mode of delivery | ||||||||
Vaginal | 3387 (84.6) | 4013 (83.4) | 3925 (82) | 3690 (76.3) | 3252 (75.7) | 2789 (74.8) | 2801 (74.4) | 23 857 (78.9) |
Caesarean section | 460 (11.5) | 645 (13.4) | 729 (15.2) | 1025 (21.2) | 957 (22.3) | 863 (23.1) | 886 (23.5) | 5565 (18.4) |
Assisted breech delivery | 119 (3.0) | 126 (2.6) | 110 (2.3) | 95 (2.0) | 79 (1.8) | 73 (2.0) | 68 (1.8) | 670 (2.2) |
Vacuum | 38 (0.9) | 28 (0.6) | 23 (0.5) | 12 (0.2) | 7 (0.2) | 6 (0.2) | 11 (0.3) | 125 (0.4) |
Newborn resuscitation | ||||||||
Stimulation | 718 (14.7) | 788 (16.4) | 725 (15.1) | 727 (15.0) | 590 (13.7) | 1051 (28.2) | 1075 (28.5) | 5674 (18.2) |
Bag mask ventilation | 358 (7.4) | 283 (6.0) | 262 (5.5) | 337 (7.1) | 312 (7.3) | 247 (6.7) | 269 (7.3) | 2068 (6.7) |
Birth weight (g†) | 3155 (490) | 3095 (494) | 3075 (460) | 3125 (522) | 3248 (537) | 3255 (523) | 3347 (536) | 3176 (515) |
Data are shown as n (%) unless otherwise stated.
*The data collection form was slightly changed in March 2013 and the variable (others) was not recorded from March 2013 towards the end of 2016.
†Mean (±SD)
CQI, continuous quality improvement; FHR, fetal heart rate; HBB, Helping Babies Breathe.