{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T19:36:09Z","timestamp":1793734569447,"version":"4.6.1"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","award":["7200AA20CA00003"],"award-info":[{"award-number":["7200AA20CA00003"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004593","name":"Universidad Aut\u00f3noma de Madrid","doi-asserted-by":"publisher","award":["CA5\/RSUE\/2022\u201000194"],"award-info":[{"award-number":["CA5\/RSUE\/2022\u201000194"]}],"id":[{"id":"10.13039\/501100004593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100022787","name":"Ariadne Labs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100022787","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The intrapartum period is critical for reducing maternal and perinatal morbidity and mortality. The WHO's Safe Childbirth Checklist (SCC) was designed as a reminder of the most critical, evidence\u2010based practices (EBPs) to improve quality care and reduce preventable complications and deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the impact of SCC on birth attendant behavior and maternal and newborn health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search Strategy<\/jats:title><jats:p>A systematic review and meta\u2010analysis was performed searching across five databases from 2009 to 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection Criteria<\/jats:title><jats:p>We included randomized controlled trials, quasi\u2010experimental studies, and pre\/post studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Analysis<\/jats:title><jats:p>A meta\u2010analysis yielded a pooled estimate of\u00a0relative risk (RR) for adherence to and effectiveness of the SCC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Results<\/jats:title><jats:p>Of 1070 articles identified, 16 were included. Use of the SCC increased adherence to EBPs by 65% (RR 1.65; 95% confidence interval [CI]\u00a01.34\u20132.02). The behaviors that improved the most were danger sign counseling (RR 12.37; 95% CI 1.95\u201378.52; <jats:italic>P<\/jats:italic>\u2009=\u20090.008) and pre\u2010eclampsia management (RR 3.43; 95% CI 1.33\u20138.88; <jats:italic>P<\/jats:italic>\u2009=\u20090.011). There was moderate evidence for stillbirth reduction (RR 0.89; 95% CI 0.80\u20130.99; <jats:italic>P<\/jats:italic>\u2009=\u20090.034).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is moderate evidence demonstrating the effectiveness of the SCC in reducing stillbirths and improving adherence to EBPs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.16123","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T12:21:08Z","timestamp":1737548468000},"page":"984-998","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of the <scp>WHO<\/scp> safe childbirth checklist on birth attendant behavior and maternal\u2010newborn outcomes: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"169","author":[{"given":"Mar\u00eda","family":"Fern\u00e1ndez\u2010Elorriaga","sequence":"first","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health  Boston Massachusetts USA"},{"name":"Nursing Department Medical School at Autonomous University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jocelyn","family":"Fifield","sequence":"additional","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine E. A.","family":"Semrau","sequence":"additional","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Lipsitz","sequence":"additional","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle E.","family":"Tuller","sequence":"additional","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Mita","sequence":"additional","affiliation":[{"name":"Countway Library Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Cho","sequence":"additional","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Scott","sequence":"additional","affiliation":[{"name":"Maternal, Newborn, Child and Adolescent Health and Ageing Department World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayda","family":"Taha","sequence":"additional","affiliation":[{"name":"WHO Patient Safety Flagship World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelam","family":"Dhingra\u2010Kumar","sequence":"additional","affiliation":[{"name":"WHO Patient Safety Flagship World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allisyn","family":"Moran","sequence":"additional","affiliation":[{"name":"Maternal, Newborn, Child and Adolescent Health and Ageing Department World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7977-7960","authenticated-orcid":false,"given":"Rose L.","family":"Molina","sequence":"additional","affiliation":[{"name":"Ariadne Labs at Brigham and Women's Hospital and the Harvard T H Chan School of Public Health  Boston Massachusetts USA"},{"name":"Department of Obstetrics and Gynecology Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Evaluation Report","author":"WHO safe childbirth checklist collaboration","year":"2017"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)00385-9"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001612"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed7050064"},{"key":"e_1_2_10_7_1","unstructured":"World Health Organization.Maternal mortality.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/maternal\u2010mortality"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.03.022"},{"key":"e_1_2_10_9_1","unstructured":"World Health Organization.WHO safe childbirth checklist implementation guide: improving the quality of facility\u2010based delivery for mothers and newborns.2015https:\/\/www.who.int\/publications\/i\/item\/9789241549455"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0234320"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2021.02.003"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2021.105906"},{"key":"e_1_2_10_13_1","unstructured":"Cochrane Handbook for Systematic Reviews of Interventions.Cochrane Training.https:\/\/training.cochrane.org\/handbook\/current"},{"key":"e_1_2_10_14_1","unstructured":"FifieldJ SemrauK MolinaR Fernandez\u2010ElorriagaM ChoC MitaC.Impact of WHO Safe Childbirth Checklist on provider behavior and maternal and newborn health outcomes: A Systematic Review and Meta\u2010Analysis. PROSPERO 2023 CRD42023448194.2023https:\/\/www.crd.york.ac.uk\/prospero\/display_record.php?RecordID=448194"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2016.08.021"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.823"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90046-2"},{"key":"e_1_2_10_19_1","unstructured":"GRADEpro GDT|Cochrane GRADEing.https:\/\/methods.cochrane.org\/gradeing\/gradepro\u2010gdt"},{"key":"e_1_2_10_20_1","article-title":"The GRADE approach, part 1: how to assess the certainty of the evidence","volume":"21","author":"Kirmayr M","year":"2021","journal-title":"Fortschr Med"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07650-x"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.37168"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1701075"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2836-z"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1139-x"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-056908"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40748-019-0098-4"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03565-3"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2017.1377772"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0309-y"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2017-000145"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000033640"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0244310"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1588-x"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0035151"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40748-018-0075-3"},{"key":"e_1_2_10_37_1","unstructured":"Cochrane. Methods Bias.https:\/\/methods.cochrane.org\/bias\/."},{"key":"e_1_2_10_38_1","volume-title":"The BetterBirth Study (November 2014\u2013December 2017): Global Strategies to End the Preventable Deaths of Women & Newborns in Childbirth","author":"Ariadne Labs","year":"2019"},{"key":"e_1_2_10_39_1","volume-title":"WHO Labour Care Guide:user's manual","author":"World Health Organization","year":"2020"},{"key":"e_1_2_10_40_1","volume-title":"WHO Recommendations on Maternal and Newborn Care for a Positive Postnatal Experience","year":"2022"},{"key":"e_1_2_10_41_1","volume-title":"WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage","year":"2012"},{"key":"e_1_2_10_42_1","unstructured":"WHO recommendations: Uterotonics for the prevention of postpartum haemorrhage. :World Health Organization 2018."}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.16123","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T12:03:12Z","timestamp":1747828992000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.16123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,22]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/ijgo.16123"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.16123","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,22]]},"assertion":[{"value":"2024-07-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}