Evidence map›Paper›PMID 34934667›Full record

ArticleJournal of family medicine and primary care2021

Are the labour rooms of primary healthcare facilities capable of providing basic delivery and newborn services? A cross-sectional study.

Divyata Sachan, Deepak Kumar, Abhinav Gangwar, Pankaj Kumar Jain, Sandip Kumar, Sushil Kumar Shukla, Dhiraj Kumar Srivastava, Pradip Kharya, Prashant Kumar Bajpai, Pooja Pathak and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 2 institutions in 1 country.

Divyata SachanDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Deepak KumarDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Abhinav GangwarDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Pankaj Kumar JainDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Sandip KumarDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Sushil Kumar ShuklaDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Dhiraj Kumar SrivastavaDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Pradip KharyaDepartment of Community Medicine, AIIMS, Gorakhpur, Uttar Pradesh, India.
Prashant Kumar BajpaiDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Pooja PathakDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Tamma Raja RaoDepartment of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Adesh University · INAll India Institute of Medical Sciences Raipur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study aimed to assess the functionality of labour rooms by evaluating the labour room infrastructure with reference to the standard guidelines, the status of the availability of human resources, the availability of essential equipment and consumables in the labour room and by documenting the knowledge of the healthcare provider in terms of labour room practices. The study also explored the facility parameters associated with its delivery load taking the facility as a unit of analysis.

designA cross-sectional analytical study.

settingIndia has realised the importance of improving the quality of care in public health facilities, and steps are being taken to make healthcare more responsive to women's needs. With an increase in the proportion of institutional deliveries in India, the outcome of the delivery process can be improved by optimising the health facility components.

participantsThe study was conducted in 52 health facilities and healthcare providers involved in the delivery process in the selected facilities.

resultsThe infrastructure of the facilities was found to be the best for medical college followed by district hospitals, Community Health Centres (CHCs), Primary Health Centres (PHCs) and subcentres. Similar findings were observed in terms of the availability of equipment and consumables. Lack of healthcare providers was observed as only 20% of the posts for health personnel were fulfilled in CHCs followed by PHCs, subcentres and district hospitals where 43, 50 and 79% of the available vacancies were fulfilled. The level of knowledge of healthcare providers in terms of partograph, active management of the third stage of labour and post-partum haemorrhage ranged as per their designation. The specialists were the most knowledgeable while the Auxiliary Nurse Midwife (AMNs) were the least. All the components of structural capacity, i.e. infrastructure (

conclusionsThe higher facilities were better equipped to provide delivery and newborn care. A higher delivery load was found at high-level facilities which can be attributed to better infrastructure, adequate supply of equipment and consumables and availability of trained human resources.

Indexed as

Childbirthfacility assessmentlabour roommaternal healthquality of healthcare

Identifiers

PMID34934667
PMCPMC8653497
OpenAlexW3215165477

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.