Applicability and Adherence to WHO Safe Childbirth Checklist Essential Practices at Ain Shams Maternity Hospital | ||
| The Egyptian Journal of Community Medicine | ||
| Articles in Press, Accepted Manuscript, Available Online from 03 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejcm.2025.357194.1371 | ||
| Authors | ||
| Mahi Mahmoud Al Tehewy1; Sara Mohammed Ghazal1; Ahmed Rami Mohammed Rami2; Maha Magdy Wahdan* 3 | ||
| 1Department of Healthcare Quality, Faculty of Medicine, Ain Shams University | ||
| 2Gynecology and Obstetrics Department, Faculty of Medicine, Ain Shams University | ||
| 3Community, Environmental, and Occupational Medicine Department, Faculty of medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Background: Childbirth and the first 24 hours post-delivery are crucial for both mother and new-born. Compliance with the WHO safe childbirth checklist (WHO SCC) is essential to reduce maternal and neonatal morbidity. The objective was to measure the applicability and adherence of healthcare providers to essential practices as required by the WHO SCC. Methods: A prospective observational study was conducted to observe and follow a sample of childbirths at Ain Shams Maternity Hospital (ASMH) through the 4 pause points (on admission, just before the woman starts pushing or before a caesarean section, within one hour after births, and before discharge from the facility). Results: A total of 221 childbirths were included. Mothers' average age was 30±6 years and the average gestational age was 37±2 weeks. Placenta previa (10.9%), previous abortions (10.9%), and preeclampsia (10.4%) were the most prevalent obstetric problems. The total adherence to the WHO SCC essential practices was 94.7%. It was 87.5% for on admission, 100.0% for just before pushing or before caesarean, 100.0% for within one-hour after birth, and 88.8% for before discharge. There were one practice (maternal referral) not applicable and two practices not adherent (the presence of a companion at the birth and a 24-hour stay following childbirth). Conclusions: With exception of two practices, ASUH was highly adherent to the WHO SCC evidence-based practices. It is suggested to revise the current hospital policies to allow one birth companion to attend delivery and extend the length of stay after vaginal delivery to 24 hours. | ||
| Keywords | ||
| Adherence; Egypt; Maternity Hospital; WHO Safe Childbirth Checklist | ||
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