Related Experiment Video
Updated: Apr 2, 2026
14:43
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
13.7K
The World Health Organization Safe Childbirth Checklist on Essential Birth Practices and Perinatal Mortality: A
Lennart Christian Kaplan1, Megan Marx Delaney2, Pia Roddewig3
1Georg-August-University of Göttingen, Göttingen, Germany.
JAMA Network Open
|February 26, 2026
Summary
The World Health Organization Safe Childbirth Checklist (SCC) improved adherence to evidence-based practices (EBPs). While overall mortality showed no change, SCC use was linked to reduced stillbirths during observed periods in lower-middle-income countries.
Area of Science:
- Global Health
- Maternal and Newborn Health
- Healthcare Quality Improvement
Background:
- The World Health Organization (WHO) Safe Childbirth Checklist (SCC) is implemented globally to enhance obstetric care.
- Previous studies show increased adherence to practices with SCC implementation, but outcomes vary across settings.
Purpose of the Study:
- To investigate the association between SCC implementation and mortality rates.
- To analyze the impact of SCC on adherence to evidence-based practices (EBPs).
Main Methods:
- Meta-analysis of 3 cluster randomized trials of the SCC conducted between 2014 and 2017 in India, Indonesia, and Pakistan.
- Intention-to-treat (ITT) and complier average causal effect (CACE) analyses were used to estimate effects on EBPs and perinatal mortality.
- Primary outcomes included stillbirth, perinatal, and early neonatal mortality; secondary outcomes focused on EBP adherence and facility conditions.
Main Results:
- Overall mortality did not significantly differ between intervention and control groups.
- During periods of EBP observation, stillbirth rates were significantly lower in SCC intervention facilities (ITT: -9.8/1000 births; CACE: -14.5/1000 births).
- SCC implementation led to a significant increase in EBP adherence (ITT: +3.6 practices; CACE: +6.0 practices).
Conclusions:
- In lower-middle-income settings, SCC use is associated with improved adherence to EBPs.
- The SCC demonstrated a reduction in stillbirths, particularly when EBPs were closely monitored.
- Further research is recommended to optimize the SCC's impact on maternal and newborn safety.
Related Concept Videos
01:22Healthcare Associated Infections II: Preventive Measures
4.9K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.9K
01:26Standard Precaution
3.5K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
3.5K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
957
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
957
01:18Guidelines and Strategies for Safe Computer Charting
3.2K
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
3.2K
01:22Birth Control Methods
7.3K
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
7.3K
01:28Development of the Oral Microbiota
37
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
37