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Quality of intra-partum care at a university hospital in Nepal: A prospective cross-sectional survey

Journal article
Authors Johanna Cederfeldt
Jenny Carlsson
Cecily Begley
Marie Berg
Published in Sexual & Reproductive HealthCare
Volume 7
Pages 52-57
ISSN 1877-5756
Publication year 2016
Published at University of Gothenburg Centre for person-centred care (GPCC)
Institute of Health and Care Sciences
Pages 52-57
Language en
Keywords Intra-partum care, Quality of health care, Bologna score, Nepal, Survey
Subject categories Health Sciences


Objective: To investigate the quality of intra-partum care provided to women with an expected normal birth at a university hospital in Nepal. Methods: A prospective cross-sectional study was conducted during three weeks in November 2013. Nurses at the labor ward collected data from 292 consecutive births. Of these, 164 women of low risk were expected to have a normal birth and were included in the study; 107 (65%) were nulliparous. The selfadministered questionnaire covered maternal characteristics, previous pregnancies and births, current pregnancy, labor and birth. Nine items assessed care management, five of which comprised the Bologna score with a total possible score of 5: presence of a companion, use of partograph, non-use of augmentation, non-supine position, and skin-to-skin contact. Results: The women were assisted by physicians (56%), nurses (42%) or students under supervision (2%). All were in good health after birth. Two had a postpartum hemorrhage exceeding 500 ml and 49% had an episiotomy. Apgar score in all neonates was ≥ 7 at five minutes. Mean Bologna score was 1.43 (variance 0-3). Conclusions: The management of care in normal birth could be improved in the studied setting, and there is a need for more research to support such improvement.

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