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Simple, life-saving checks across the childbirth continuum
- 1. PIECING TOGETHER SAFE CHILDBIRTH Exploring Simple, Life-Saving Checks Across the Childbirth Continuum Every Woman Every Child Innovation Working Group Task Force on Checklists Interim Progress Report April 2012
- 5. Surgical Checklist: Results Results – All Sites Baseline Checklist P value Cases 3733 3955 - Death 1.5% 0.8% 0.003 Any Complication 11.0% 7.0% <0.001 SSI 6.2% 3.4% <0.001 Unplanned Reoperation 2.4% 1.8% 0.047
- 6. Checklists: Theories of Change • Prompt at key moments in care • Define essential tasks • Highlight system malfunction • Impose conceptual structure • Increase team communication • Facilitate essential dialogue
- 7. EWEC IWG Checklist TF Strategy Selection Criteria • Potential impact • Simplicity & user-friendliness • Feasibility for testing • Feasibility for scaling • Applicability across countries • Link to EWEC goals
- 9. Piece 2: At the Time of Delivery
- 10. Childbirth Checklist: Pause Points Pause point #2 Pause point #3 Just before pushing Soon after birth (or before Cesarean) Pause point #1 (within 1 hour) On admission Pause point #4 Delivery Before Discharge Maternal & neonatal mortality risk Labor progression Postpartum Admission to birth facility Discharge from birth facility Labor onset Antenatal period 28 days Conception 42 days Pre-conception Time
- 11. Safe Childbirth Checklist Program
- 12. Safe Childbirth Checklist Program
- 13. Piece 1: During Pregnancy
- 14. Piece 3: In the Postpartum/Postnatal Period
- 15. Acknowledgments IWG Task Force on Checklists Chairs Scott Ratzan, Jonathan Spector Members Angela Lashoher, Claire Lemer, Sarah Marsh, Garrett Mehl, Marc Mitchell, Ida Neuman, Prabhjot Singh Advisory Group Franklin Apfel, Gary Darmstadt, Lord Darzi of Denham, Karlee Sliver, Bruce Gellin, Atul Gawande, Barry Bloom, Flavia Bustreo, Ian Pett, Anayda Portela, Mario Merialdi, Patricia Mechael, Jean-Marie Okwo- Bele, Ian Pett, Joanna Rubenstein, Sonia Ehrlich Sachs, Alexandra Schoeb, Karlee Silver, Severin von Xylander Support Alice Fabiano, Grace Galvin, Amanda McKelvey, and Ade Obayemi