Impact of the WHO safe childbirth checklist on birth attendant behavior and maternal-newborn outcomes: A systematic review and meta-analysis
Background: The intrapartum period is critical for reducing maternal and perinatal morbidity and mortality. The WHO's Safe Childbirth Checklist (SCC) was designed as a reminder of the most critical, evidence-based practices (EBPs) to improve quality care and reduce preventable complications and...
| Autores: | , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universidad Autónoma de Madrid |
| Repositorio: | Biblos-e Archivo. Repositorio Institucional de la UAM |
| Idioma: | inglés |
| OAI Identifier: | oai:repositorio.uam.es:10486/718803 |
| Acceso en línea: | http://hdl.handle.net/10486/718803 https://dx.doi.org/10.1002/ijgo.16123 |
| Access Level: | acceso abierto |
| Palabra clave: | childbirth evidence-based practices maternal and newborn care maternal and newborn safety maternal health quality of care safe childbirth checklist Medicina |
| Sumario: | Background: The intrapartum period is critical for reducing maternal and perinatal morbidity and mortality. The WHO's Safe Childbirth Checklist (SCC) was designed as a reminder of the most critical, evidence-based practices (EBPs) to improve quality care and reduce preventable complications and deaths. Objective: To assess the impact of SCC on birth attendant behavior and maternal and newborn health outcomes. Search Strategy: A systematic review and meta-analysis was performed searching across five databases from 2009 to 2023. Selection Criteria: We included randomized controlled trials, quasi-experimental studies, and pre/post studies. Data Analysis: A meta-analysis yielded a pooled estimate of relative risk (RR) for adherence to and effectiveness of the SCC. Main Results: Of 1070 articles identified, 16 were included. Use of the SCC increased adherence to EBPs by 65% (RR 1.65; 95% confidence interval [CI] 1.34–2.02). The behaviors that improved the most were danger sign counseling (RR 12.37; 95% CI 1.95–78.52; P = 0.008) and pre-eclampsia management (RR 3.43; 95% CI 1.33–8.88; P = 0.011). There was moderate evidence for stillbirth reduction (RR 0.89; 95% CI 0.80–0.99; P = 0.034). Conclusion: There is moderate evidence demonstrating the effectiveness of the SCC in reducing stillbirths and improving adherence to EBPs |
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