Table 1 Criteria of quality of care for PPH selected by the expert panel and calculation of the quality score.
Criteriaa | Clinical context | |||
|---|---|---|---|---|
Cesarean | Vaginal delivery | |||
No uterine atony | Uterine atony | No uterine atony | Uterine atony | |
Prophylactic uterotonic for the third stage of labor | ||||
Done | 2 | 2 | 2 | 2 |
Not done | 0 | 0 | 0 | 0 |
Blood loss estimation written in the medical chart | ||||
Done | 2 | 2 | 2 | 2 |
Not done | 0 | 0 | 0 | 0 |
First-line uterotonic | ||||
Administered ≤ 30 minb | 2 | 2 | 2 | 2 |
Administered > 30 minb | 1 | 1 | 1 | 1 |
Not administered | 0 | 0 | 0 | 0 |
Measurement of blood hemoglobinc | ||||
Done ≤ 60 minb | 2 | 2 | 2 | 2 |
Not done or done > 60 minb | 0 | 0 | 0 | 0 |
Measurement of hemostatic function|| | ||||
Done ≤ 60 minb | 2 | 2 | 2 | 2 |
Not done or done > 60 minb | 0 | 0 | 0 | 0 |
Manual examination of the uterus | ||||
Done ≤ 30 minb | NA | NA | 2 | 2 |
Not done or done > 30 minb | NA | NA | 0 | 0 |
Examination of the cervix and vagina | ||||
Done | NA | NA | 1 | 1 |
Not done | NA | NA | 0 | 0 |
Second-line uterotonic (sulprostone) | ||||
Administered ≤ 30 min after first line uterotonic (oxytocin) | NA | 2 | NA | 2 |
Administered (whatever the timing) | 1 | 0 | 1 | 0 |
Not administered | 0 | 0 | 0 | 0 |
Total: maximal number of points | 11 | 12 | 14 | 15 |
Quality score: number of points/maximum number of points | Sum /11 | Sum /12 | Sum /14 | Sum /15 |