{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T04:32:58Z","timestamp":1693197178037},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,17]],"date-time":"2018-12-17T00:00:00Z","timestamp":1545004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004102","name":"Laerdal Foundation for Acute Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007051","name":"Uppsala Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007051","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2019,2]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To evaluate the impact of a criteria\u2010based audit (CBA<\/jats:styled-content>) of obstructed labor and fetal distress on cesarean delivery and perinatal outcomes.<\/jats:p><\/jats:sec>Methods<\/jats:title>A cross\u2010sectional study was performed at a tertiary referral hospital in Tanzania. Data were collected before and after CBA<\/jats:styled-content> (January 2013\u2013November 2013 and July 2015\u2013June 2016). Outcomes of fetal distress (baseline CBA<\/jats:styled-content>, n=248; re\u2010audit, n=251) and obstructed labor (baseline CBA<\/jats:styled-content>, n=260; re\u2010audit n=250) were assessed using a checklist. Additionally, 27\u00a0960 parturients were assessed using the Robson classification.<\/jats:p><\/jats:sec>Results<\/jats:title>Perinatal morbidity and mortality decreased from 42 of 260 (16.2%) to 22 of 250 (8.8%) among patients with obstructed labor after CBA<\/jats:styled-content> (P<\/jats:italic>=0.012). Cesarean delivery rate decreased for referred term multiparas with induced labor or prelabor cesarean delivery (odds ratio [OR<\/jats:styled-content>] 0.28, 95% confidence interval [CI<\/jats:styled-content>] 0.09\u20130.82). Cesarean delivery rate for preterm pregnancies increased among both referred (OR<\/jats:styled-content> 1.28, 95% CI<\/jats:styled-content> 1.02\u20131.63) and non\u2010referred (OR<\/jats:styled-content> 2.78, 95% CI<\/jats:styled-content> 1.98\u20133.90) groups. Neonatal distress rate decreased for referred term multiparas (OR<\/jats:styled-content> 0.72, 95% CI<\/jats:styled-content> 0.56\u20130.92), referred preterm pregnancies (OR<\/jats:styled-content> 0.32, 95% CI<\/jats:styled-content> 0.25\u20130.39), and non\u2010referred preterm pregnancies (OR<\/jats:styled-content> 0.26, 95% CI<\/jats:styled-content> 0.18\u20130.36).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Use of CBA<\/jats:styled-content> reduced poor perinatal outcomes of obstructed labor and increased uptake of cesarean delivery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12726","type":"journal-article","created":{"date-parts":[[2018,11,30]],"date-time":"2018-11-30T08:34:55Z","timestamp":1543566895000},"page":"199-209","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of a criteria\u2010based audit to optimize uptake of cesarean delivery in a low\u2010resource setting"],"prefix":"10.1002","volume":"144","author":[{"given":"Andrew H.","family":"Mgaya","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Muhimbili National Hospital Dar es Salaam Tanzania"},{"name":"Department of Women's and Children's Health, International Maternal and Child Health Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussein L.","family":"Kidanto","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, International Maternal and Child Health Uppsala University Uppsala Sweden"},{"name":"Reproductive and Child Health Ministry of Health, Community Development, Gender, Elderly and Children Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lennarth","family":"Nystr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Medicine, Epidemiology and Global Health Unit Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgitta","family":"Ess\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, International Maternal and Child Health Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,17]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Uganda Bureau of Statistics.Uganda demographic health survey 2011.Calverton MD:ICF International;2014.https:\/\/dhsprogram.com\/pubs\/pdf\/fr264\/fr264.pdf. Accessed November 20 2018."},{"key":"e_1_2_8_3_1","unstructured":"National Bureau of Statistics.Tanzania demographic health survey 2015\/16.Calverton MD:ICF international;2016.https:\/\/www.dhsprogram.com\/pubs\/pdf\/SR233\/SR233.pdf. Accessed November 20 2018."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-320"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.01.012"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12553"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.09.003"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166619"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1137-z"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-141"},{"key":"e_1_2_8_11_1","unstructured":"Ministry of Health and Social Welfare.National Road Map Strategic Plan. To accelerate reduction of maternal new\u2010born and child deaths in Tanzania 2008\u20102015.Dar es Salaam:MoHSW;2014.http:\/\/www.mcdgc.go.tz\/data\/One_MNCH_plan.pdf. Accessed November 20 2018."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-11-73"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2307\/30032460"},{"key":"e_1_2_8_14_1","unstructured":"Ministry of Health and Social Welfare.Availability and Utilization of Emergency Obstetric and Neonatal Care in Tanzania Mainland.Dar es Salaam:MoHSW;2015.http:\/\/ihi.eprints.org\/3733\/1\/ONE%20PLAN%20CEEMI.pdf. 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