Vogel, Joshua P, Comrie-Thomson, Liz, Pingray, Veronica, Gadama, Luis, Galadanci, Hadiza, Goudar, Shivaprasad, Laisser, Rose, Lavender, Tina, Lissauer, David 
ORCID: 0000-0002-7878-2327, Misra, Sujata et al (show 21 more authors)
(2021)
Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed-methods, multicountry evaluation.
BIRTH-ISSUES IN PERINATAL CARE, 48 (1).
pp. 66-75.
Abstract
<h4>Introduction</h4>The World Health Organization's (WHO) Labour Care Guide (LCG) is a "next-generation" partograph based on WHO's latest intrapartum care recommendations. It aims to optimize clinical care provided to women and their experience of care. We evaluated the LCG's usability, feasibility, and acceptability among maternity care practitioners in clinical settings.<h4>Methods</h4>Mixed-methods evaluation with doctors, midwives, and nurses in 12 health facilities across Argentina, India, Kenya, Malawi, Nigeria, and Tanzania. Purposively sampled and trained practitioners applied the LCG in low-risk women during labor and rated experiences, satisfaction, and usability. Practitioners were invited to focus group discussions (FGDs) to share experiences and perceptions of the LCG, which were subjected to framework analysis.<h4>Results</h4>One hundred and thirty-six practitioners applied the LCG in managing labor and birth of 1,226 low-risk women. The majority of women had a spontaneous vaginal birth (91.6%); two cases of intrapartum stillbirths (1.63 per 1000 births) occurred. Practitioner satisfaction with the LCG was high, and median usability score was 67.5%. Practitioners described the LCG as supporting precise and meticulous monitoring during labor, encouraging critical thinking in labor management, and improving the provision of woman-centered care.<h4>Conclusions</h4>The LCG is feasible and acceptable to use across different clinical settings and can promote woman-centered care, though some design improvements would benefit usability. Implementing the LCG needs to be accompanied by training and supportive supervision, and strategies to promote an enabling environment (including updated policies on supportive care interventions, and ensuring essential equipment is available).
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | childbirth, intrapartum care, labor, partograph, WHO Labour Care Guide |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 01 Jul 2021 07:46 |
| Last Modified: | 18 Jan 2023 21:37 |
| DOI: | 10.1111/birt.12511 |
| Open Access URL: | https://doi.org/10.1111/birt.12511 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3128379 |
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