Evidence map›Paper›PMID 30425221›Full record

Observational studyThe Indian journal of medical research2018

Labour & delivery monitoring patterns in facility births across five districts of India: A cross-sectional observational study.

Shalini Singh, Jyotika A Kashyap, Nomita Chandhiok, Vipin Kumar, Vishwajeet Singh, Richa Goel, for an ICMR-UNFPA Task Force study on reducing maternal mortality and morbidity through promotion of evidence based intrapartum and early postpartum care*

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The Indian journal of medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shalini SinghDivision of Reproductive Biology, Maternal & Child Health, Indian Council of Medical Research, New Delhi, India.
Jyotika A KashyapDepartment of Obstetrics & Gynaecology, Sir Sayajirao General Hospital, Medical College, Vadodara, India.
Nomita ChandhiokDivision of Reproductive Biology, Maternal & Child Health, Indian Council of Medical Research, New Delhi, India.
Vipin KumarDivision of Clinical Oncology, ICMR-National Institute of Cancer Prevention & Research, Noida, India.
Vishwajeet SinghDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Richa GoelIndependant Consultant.
for an ICMR-UNFPA Task Force study on reducing maternal mortality and morbidity through promotion of evidence based intrapartum and early postpartum care*

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesIndia has recorded a marked increase in facility births due to government's conditional cash benefit scheme initiated in 2005. However, concerns have been raised regarding the need for improvement in the quality of care at facilities. Here we report the monitoring patterns during labour and delivery documented by direct observation in reference to the government's evidence-based guidelines on skilled birth attendance in five districts of India.

methodsA cross-sectional study design with multistage sampling was used for observation of labour and delivery processes of low-risk women with singleton pregnancy in five districts of the country. Trained research staff recorded the findings on pre-tested case record sheets.

resultsA total of 1479 women were observed during active first stage of labour and delivery in 55 facilities. The overall frequency of monitoring of temperature, pulse and blood pressure was low at all facilities. The frequency of monitoring uterine contractions and foetal heart sounds was less than the expected norm, while the frequency of vaginal examinations was high at all levels of facilities. Partograph plotting was done in only 15.8 per cent deliveries, and labour was augmented in about half of the cases. INTERPRETATION &

conclusionsThe findings of our study point towards a need for improvement in monitoring of maternal and foetal parameters during labour and delivery in facility births and to improve adherence to government guidelines for skilled birth attendance.

Indexed as

Delivery, ObstetricFetal MonitoringMonitoring, PhysiologicObstetric Labor ComplicationsAdultBirthing CentersClinical CompetenceCross-Sectional StudiesFemaleHumansIndiaLabor, ObstetricPregnancyQuality ImprovementQuality of Health CareGuidelineslabour monitoringpartographquality of careskilled birth attendance

Identifiers

PMID30425221
PMCPMC6251267

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.