{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:46:37Z","timestamp":1792727197906,"version":"4.5.0"},"reference-count":34,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T00:00:00Z","timestamp":1649635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe standardised iterative methods used by a multidisciplinary group to develop evidence\u2010based clinical intrapartum care algorithms for the management of uneventful and complicated labours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Singleton, term pregnancies considered to be at low risk of developing complications at admission to the birthing facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Health facilities in low\u2010 and middle\u2010income countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>Literature reviews were conducted to identify standardised methods for algorithm development and examples from other fields, and evidence and guidelines for intrapartum care. Searches for different algorithm topics were last updated between January and October 2020 and included a combination of terms such as \u2018labour\u2019, \u2018intrapartum\u2019, \u2018algorithms\u2019 and specific topic terms, using Cochrane Library and MEDLINE\/PubMED, CINAHL, National Guidelines Clearinghouse and Google.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case scenarios<\/jats:title><jats:p>Nine algorithm topics were identified for monitoring and management of uncomplicated labour and childbirth, identification and management of abnormalities of fetal heart rate, liquor, uterine contractions, labour progress, maternal pulse and blood pressure, temperature, urine and complicated third stage of labour. Each topic included between two and four case scenarios covering most common deviations, severity of related complications or critical clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Intrapartum care algorithms provide a framework for monitoring women, and identifying and managing complications during labour and childbirth. These algorithms will support implementation of WHO recommendations and facilitate the development by stakeholders of evidence\u2010based, up to date, paper\u2010based or digital reminders and decision\u2010support tools. The algorithms need to be field tested and may need to be adapted to specific contexts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Evidence\u2010based intrapartum care clinical algorithms for a safe and positive childbirth experience.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16958","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T03:04:55Z","timestamp":1649732695000},"page":"6-16","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Constructing evidence\u2010based clinical intrapartum care algorithms for decision\u2010support tools"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9015-1635","authenticated-orcid":false,"given":"M","family":"Bonet","sequence":"first","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Program of Research Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Ciabati","sequence":"additional","affiliation":[{"name":"Department of Social Medicine Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo  Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LL","family":"De Oliveira","sequence":"additional","affiliation":[{"name":"Department of Social Medicine Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo  Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9075-9269","authenticated-orcid":false,"given":"R","family":"Souza","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine University of Campinas (UNICAMP)  Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JL","family":"Browne","sequence":"additional","affiliation":[{"name":"Julius Global Health Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht University  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0914-5508","authenticated-orcid":false,"given":"M","family":"Rijken","sequence":"additional","affiliation":[{"name":"Julius Global Health Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht University  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Fawcus","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faculty of Health Sciences University of Cape Town  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3080-1007","authenticated-orcid":false,"given":"GJ","family":"Hofmeyr","sequence":"additional","affiliation":[{"name":"Effective Care Research Unit Walter Sisulu University and Eastern Cape Department of Health University of the Witwatersrand  East London South Africa"},{"name":"Department of Obstetrics and Gynaecology University of Botswana  Gaborone Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7687-5629","authenticated-orcid":false,"given":"T","family":"Liabsuetrakul","sequence":"additional","affiliation":[{"name":"Epidemiology Unit Faculty of Medicine Prince of Songkla University  Hat Yai Songkhla Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4066-9038","authenticated-orcid":false,"given":"\u00c7","family":"G\u00fcl\u00fcmser","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Science School of Medicine  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Blennerhassett","sequence":"additional","affiliation":[{"name":"Institute of Metabolism and Systems Research University of Birmingham  Birmingham UK"},{"name":"World Health Organization Collaborating Centre for Global Women's Health Research  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7878-2327","authenticated-orcid":false,"given":"D","family":"Lissauer","sequence":"additional","affiliation":[{"name":"Malawi\u2010Liverpool\u2010Wellcome Trust Research Institute Queen Elizabeth Central Hospital College of Medicine  Blantyre Malawi"},{"name":"Institute of Life Course and Medical Sciences William Henry Duncan Building University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Meher","sequence":"additional","affiliation":[{"name":"Birmingham Women's and Children's NHS Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7024-8701","authenticated-orcid":false,"given":"F","family":"Althabe","sequence":"additional","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Program of Research Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3371-5892","authenticated-orcid":false,"given":"OT","family":"Oladapo","sequence":"additional","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Program of Research Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the WHO Intrapartum Care Algorithms Working Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60696-6"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60792-3"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0456-9"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13451"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2019-001683"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/16355"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0440-4"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2016-000266"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czaa122"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0508-1"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/24891"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812467004"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X9201200208"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2010.01480.x"},{"key":"e_1_2_10_18_1","first-page":"50","article-title":"Developing evidence\u2010based algorithms for negative pressure wound therapy in adults with acute and chronic wounds: literature and expert\u2010based face validation results","volume":"58","author":"Beitz JM","year":"2012","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_10_19_1","volume-title":"A Systematic Literature Review to Support a Framework for the Development of Standards for Clinical Practice Guidance","author":"Hegarty J","year":"2015"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16726"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16728"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16727"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16775"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16776"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16730"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16726"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16729"},{"key":"e_1_2_10_28_1","volume-title":"Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice","author":"WHO, UNFPA, UNICEF","year":"2015"},{"key":"e_1_2_10_29_1","volume-title":"Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors","year":"2017"},{"key":"e_1_2_10_30_1","volume-title":"WHO Handbook for Guideline Development","year":"2014"},{"key":"e_1_2_10_31_1","volume-title":"WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience","year":"2018"},{"key":"e_1_2_10_32_1","volume-title":"Intrapartum Care for Healthy Women and Babies","year":"2014"},{"key":"e_1_2_10_33_1","volume-title":"Management of Labor","author":"Creedon D","year":"2013"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-015-0029-4"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2007.04.001"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.16958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.16958","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.16958","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T05:37:10Z","timestamp":1724391430000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.16958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,11]]},"references-count":34,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/1471-0528.16958"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.16958","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,11]]},"assertion":[{"value":"2021-02-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}