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Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
Simple, life-saving checks across the childbirth continuum
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Simple, life-saving checks across the childbirth continuum

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  • 1. PIECING TOGETHER SAFE CHILDBIRTHExploring Simple, Life-Saving Checks Across the Childbirth Continuum Every Woman Every Child Innovation Working Group Task Force on Checklists Interim Progress Report April 2012
  • 2. Surgical Checklist: Results Results – All Sites Baseline Checklist P valueCases 3733 3955 -Death 1.5% 0.8% 0.003Any Complication 11.0% 7.0% <0.001SSI 6.2% 3.4% <0.001Unplanned Reoperation 2.4% 1.8% 0.047
  • 3. Checklists: Theories of Change• Prompt at key moments in care• Define essential tasks• Highlight system malfunction• Impose conceptual structure• Increase team communication• Facilitate essential dialogue
  • 4. EWEC IWG Checklist TF Strategy Selection Criteria• Potential impact• Simplicity & user-friendliness• Feasibility for testing• Feasibility for scaling• Applicability across countries• Link to EWEC goals
  • 5. Piece 2: At the Time of Delivery
  • 6. Childbirth Checklist: Pause Points Pause point #2 Pause point #3 Just before pushing Soon after birth (or before Cesarean) Pause point #1 (within 1 hour) On admission Pause point #4 Delivery Before DischargeMaternal & neonatal mortality risk Labor progression Postpartum Admission to birth facility Discharge from birth facility Labor onset Antenatal period 28 days Conception 42 days Pre-conception Time
  • 7. Safe Childbirth Checklist Program
  • 8. Safe Childbirth Checklist Program
  • 9. Piece 1: During Pregnancy
  • 10. Piece 3: In the Postpartum/Postnatal Period
  • 11. Acknowledgments IWG Task Force on ChecklistsChairsScott Ratzan, Jonathan SpectorMembersAngela Lashoher, Claire Lemer, Sarah Marsh, Garrett Mehl, MarcMitchell, Ida Neuman, Prabhjot SinghAdvisory GroupFranklin Apfel, Gary Darmstadt, Lord Darzi of Denham, Karlee Sliver,Bruce Gellin, Atul Gawande, Barry Bloom, Flavia Bustreo, Ian Pett,Anayda Portela, Mario Merialdi, Patricia Mechael, Jean-Marie Okwo-Bele, Ian Pett, Joanna Rubenstein, Sonia Ehrlich Sachs, AlexandraSchoeb, Karlee Silver, Severin von XylanderSupportAlice Fabiano, Grace Galvin, Amanda McKelvey, and Ade Obayemi

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