Use of active management of the third stage of labour in seven developing countries
Cynthia Stanton, Deborah Armbruster, Rod Knight, Iwan Ariawan, Sourou Gbangbade, Ashebir Getachew, Jose Angel Portillo, Douglas Jarquin, Flor Marin, Sayoka Mfinanga, Jesus Vallecillo, Hope Johnson & David Sintasath
Volume 87, Number 3, March 2009, 207-215
Table 3. Characteristics of the woman and facility for deliveries observed in a study of the active management of the third stage of labour in seven developing countries, 2005 and 2006a
| Characteristic | Setting |
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Africa |
Asia |
Central America |
||||||||||||||
| Benin | Ethiopia | United Republic of Tanzania | Indonesia | El Salvador | Honduras | Nicaragua | ||||||||||
| Age of woman, in years (%) | ||||||||||||||||
| < 20 | 7.6 | 8.1 | 17.4 | 4.4 | 17.5 | 23.1 | 30.2 | |||||||||
| 20–34 | 84.8 | 83.5 | 75.3 | 77.0 | 77.8 | 70.6 | 60.6 | |||||||||
| 35+ | 7.6 | 8.4 | 7.3 | 18.6 | 4.7 | 6.3 | 9.2 | |||||||||
| Gravidity | ||||||||||||||||
| 0 | 23.2 | 36.1 | 28.7 | 42.4 | 30.2 | 41.6 | 40.4 | |||||||||
| 1 | 22.4 | 26.1 | 27.7 | 30.9 | 37.8 | 27.6 | 24.2 | |||||||||
| 2 to 4 | 47.6 | 31.9 | 33.3 | 24.5 | 28.0 | 25.3 | 27.9 | |||||||||
| 5+ | 6.8 | 5.8 | 10.3 | 2.2 | 3.9 | 5.4 | 7.5 | |||||||||
| Provider qualification (%) | ||||||||||||||||
| Obstetrician | <0.1 | 6.5 | 0.0 | 4.2 | 6.1 | 1.4 | 11.1 | |||||||||
| Other physician | 0.0 | 18.4 | 1.1 | 34.8 | 73.2 | 57.9 | 65.5 | |||||||||
| Midwife | 94.0 | 8.3 | 71.1 | 44.6 | 0.0 | 0.0 | 0.0 | |||||||||
| Nurse | <0.1 | 60.8 | 11.1 | <0.1 | 1.4 | 28.5 | 4.9 | |||||||||
| Other | 4.8 | 6.0 | 16.7 | 16.2 | 18.0b | 12.2b | 18.0b | |||||||||
| Missing | 0.0 | 0.0 | 0.0 | 0.0 | 1.3 | 0.0 | 0.5 | |||||||||
| Type of facility (%) | ||||||||||||||||
| National referral hospital | 5.2 | 38.7 | 5.7 | 10.3 | 2.2 | 14.5 | 5.8 | |||||||||
| Regional or provincial hospital | 12.4 | 35.2 | 39.1 | 32.3 | 16.9 | 39.8 | 94.2 | |||||||||
| District hospital | 25.2 | 20.6 | 52.4 | 57.4 | 80.9 | 45.7 | 0.0 | |||||||||
| Health centre or other | 57.2 | 5.5 | 2.9 | 0.0 | 0.0 | 0.0 | 0.0 | |||||||||
| In-service training for AMTSL: midwives (%) | ||||||||||||||||
| Yes | 60.8 | 55.2 | 38.8 | 76.7 | 9.3 | 0.0 | 0.0 | |||||||||
| No | 39.2 | 44.8 | 61.2 | 23.3 | 90.7 | 100.0 | 100.0 | |||||||||
| In-service training for AMTSL: nurses (%) | ||||||||||||||||
| Yes | 97.6 | 25.5 | 38.8 | 15.9 | 75.2 | 42.1 | 59.3 | |||||||||
| No | 2.4 | 74.5 | 61.2 | 84.1 | 24.8 | 57.9 | 40.7 | |||||||||
| In-service training for AMTSL: doctors (%) | ||||||||||||||||
| Yes | 82.0 | 19.7 | 16.0 | 52.0 | 63.9 | 31.8 | 76.7 | |||||||||
| No | 18.0 | 80.3 | 84.0 | 48.0 | 36.1 | 68.2 | 23.3 | |||||||||
AMTSL, active management of the third stage of labour.
a Data collected from October to December 2005 for Ethiopia and the United Republic of Tanzania, and from July to December 2006 for the remaining countries.
b Includes medical interns.