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 6. Correct use of active management of the third stage of labour, based on three definitions, in seven developing countries, 2005 and 2006a
| Setting | Percentage (95% CI) |
Observed deliveries | ||||
|---|---|---|---|---|---|---|
| FIGO–ICM definition | FIGO–ICM definition (with timing relaxed to within 3 min) | Cochrane definitionb | ||||
| Africa | ||||||
| Benin | 17.6 (9.7–29.8) | 29.1 (17.8–43.7) | 45.0 (34.5–56.0) | 250 | ||
| Ethiopia | 4.5 (1.8–10.9) | 5.7 (2.3–13.7) | 31.9 (16.6–52.4) | 310 | ||
| United Republic of Tanzania | 0.5 (<0.1–3.4) | 1.9 (0.5–6.2) | 5.5 (3.1–9.4) | 249 | ||
| Asia | ||||||
| Indonesia | 31.8 (23.7–41.3) | 39.6 (29.5–50.6) | 41.0 (33.3–49.1) | 408 | ||
| Central America | ||||||
| El Salvador | 2.6 (0.7–9.8) | 6.5 (2.2–18.1) | 7.0 (2.9–15.7) | 192 | ||
| Honduras | 4.5 (1.2–14.8) | 5.1 (1.6–15.5) | 10.7 (5.0–21.4) | 221 | ||
| Nicaragua | 0.8 (0.2–3.6) | 1.7 (0.6–5.9) | 1.4 (0.3–7.3) | 180 | ||
CI, confidence interval; FIGO, International Federation of Gynecologists and Obstetricians; ICM, International Confederation of Midwives.
a Data collected October–December 2005 for Ethiopia and the United Republic of Tanzania, and July–December 2006 for the remaining countries.
b Correct use of a uterotonic, controlled cord traction and cord clamping or cutting within 1 minute of delivery of the fetus.
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