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Outcomes of a Coaching-based WHO Safe Childbirth Checklist Program in India

Semrau, K.E.A.; Hirschhorn, L.R.; Marx Delaney, M.; Singh, V.P.; Saurastri, R.; Sharma, N.; Tuller, D.E.; Firestone, R.; Lipsitz, S.; Dhingra-Kumar, N.; Kodkany, B.S.; Kumar, V.; Gawande, A.A.BetterBirth Trial Group

Obstetric Anesthesia Digest: June 2018 - Volume 38 - Issue 2 - p 74–76
doi: 10.1097/01.aoa.0000532267.86420.41
Epidemiologic Reports, Surveys

(N Engl J Med. 2017;377(24):2313–2324)

The Safe Childbirth Checklist, created by the World Health Organization, is a practical tool encompassing a bundle of 28 essential birth practices. In the present study, the authors performed a large cluster-randomized trial of the BetterBirth program, which involves a coaching-based implementation of this checklist, to determine whether or not facility-based birth adherence to this checklist improved evidence-based care. The authors hypothesized that, if implemented at the cluster level, the intervention would reduce the composite outcome of stillbirth, early neonatal death, maternal death, or maternal severe complications during postpartum days 0 to 7.

Ariadne Labs—Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Divisions of Global Health Equity, Brigham and Women’s Hospital, the Department of Medicine, Harvard Medical School, Boston, MA

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