Labour characteristics and obstetric departments’ staffing in the four DHs year 2017 (12 months prior to the Moyo FHRM implementation)
Perinatal health variables | Hospital A | Hospital B | Hospital C | Hospital D |
Deliveries/year | 6500 | 15 000 | 8078 | 11 045 |
Stillbirths/year n (%) | 130 (2%) | 400 (2.7%) | 153 (1.9%) | 210 (1.9%) |
Fresh stillbirths/year n (%) | – | – | 130 (1.6%) | 74 (0.7%) |
Caesarean section/year n (%) Operative vaginal rate | 114 (1.8%) 0 | 1180 (7.9%) 0 | 782 (9.7%) 0 | 782 (9.68%) 0 |
Newborn stimulation* | 232 (3.6%) | 284 (1.9%) | 558 (6.9%) | 1137 (10.3%) |
Premature, <37 gestational week† | 34 (0.5%) | 170 (1.1%) | 180 (2.2%) | – |
Human resources | ||||
Staff nurse/ANM per shift‡ | 5 | 3 | 4 | 4 |
RN/RM night shift | 3 | 3 | 3 | 2 |
Doctors on call daytime | 2 | 1 | 2 | 1 |
Doctors on call night-time | 1 | 1 | 1 | 1 |
Hospital capacity | ||||
Number of maternity beds§ | 35 | 27 | 30 | 30 |
Data: Information provided by the CTEs.
*Using Helping Babies Breathe (HBB) actions.21
†Prematurity definition is challenging because of the low number of antenatal visits and error estimates happen easily.
‡Auxiliary nurse midwife: Village-level female health worker who is the first contact person between the community and the health services.
§In total including labour room, antenatal, postoperative and postnatal wards.
CTEs, clinical training experts; DHs, district hospitals; FHRM, fetal heart rate monitor; RM, registered midwife; RN, registered nurse.