|
n=112 observations
|
n
|
%
|
|
| Time woman waits between arrival and admission assessment: |
|
|
|
| Checks maternal understanding of purpose of device assessment |
104 |
93% |
|
| Examines maternal abdomen |
112 |
100% |
|
| Measures FHR with study Doppler |
112 |
100% |
|
| Measures FHR with other handheld Doppler |
4 |
4% |
|
| Measures FHR with Pinard |
6 |
5% |
|
| Records FHR in HMIS register |
108 |
96% |
|
| Measures maternal blood pressure |
92 |
82% |
|
| Assesses for warning signs of pre-eclampsia/eclampsia |
71 |
63% |
|
| Assesses other danger signs |
75 |
67% |
|
| Requests urine protein test |
25 |
22% |
|
| Initiates use of partograph |
95 |
85% |
|
| Structural factors for use and storage of Doppler: |
|
|
|
| Doppler immediately available |
110 |
98% |
Was locked in the cupboard; was in admission room rather than in triage |
| If no, observations on why not |
2 |
2% |
|
| Storage of Doppler: |
|
|
|
| Within 1 m of triage admission bed |
98 |
88% |
|
| Admission room farther than 1 m from bed |
11 |
10% |
|
| Other (describe) |
3 |
3% |
In admission room; admission room far from triage room; provider had to search for device, which was in the same room but in a congested space |
| Probe was clean |
112 |
100% |
|
| Device battery charged sufficiently |
112 |
100% |
|
| Gel present in sufficient quantity |
85 |
76% |
|
| Wipes available to clean probe |
99 |
88% |
|
| Designated location to charge device in ward |
111 |
99% |
|
| Personnel designated to be in charge of device |
112 |
100% |
|
| Challenges to Doppler use: |
|
|
|
| Provider expressed confusion on proper device use |
7 |
6% |
Comparing maternal pulse with FHR, cleaning the device; poor arrangement of admission area; provider did not turn on device until after placing transducer |
| Provider made mistake using device |
7 |
6% |
|