Abstract
Introduction
An innovative appropriate technological tool of colour-coded rings based on cervicographic principles was developed to monitor deliveries.
Objectives
To study efficacy, feasibility and acceptability of colour-coded rings for monitoring active phase of labour.
Materials and Methods
All consecutive deliveries occurring at selected primary health centres from Pune, Satara and Kolhapur Districts of Maharashtra, during 15 months period were included in the study and matched control groups. Training of medical officers and nurses from both study and control area was undertaken in routine natal and post-natal care. In addition, training of use of colour-coded rings was given to health workers from the study area.
Results
There were 6705 live births from study area and 6341 from control area. Perinatal mortality rate for study area was 15.9/1000 LB while that was 23.9/1000 LB for control area (p < 0.01). The cause-specific perinatal mortality due to birth asphyxia for the study area was 4.2/1000 LB while that was 8.5/1000 LB for control area (p = 0.0019).
Conclusion
Higher use rate of colour-coded rings associated with reduction in cause-specific mortality rate due to birth asphyxia in study area indicated that use of colour-coded rings is effective, feasible and acceptable option to cervicography under field conditions.
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Acknowledgments
This study was funded by NRHM, Maharashtra, in two instalments each of Rupees 7 lakh 50 thousand (Grant No. SHSRC/Res.Prop.Funds/490/09 dated 11/08/2009 and SHSRC/Res.Prop.Funds/5705/10 dated 13/12/2010). We are thankful to senior research officers Dr. Patkar, Dr. Kulkarni and Late Dr. Mane for doing hard supervisory work for this project.
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All authors declare that they have no conflict of intrest.
Ethical Approval
All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional ethics committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants added in the study.
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Asha K. Pratinidhi is Director of Research at Krishna Institute of Medical Sciences Deemed University; P. P. Doke is Professor in Community Medicine Department at BVDU Medical College; A. N. Shrotri is Ex. Professor, B.J. Medical College, Pune, India; R. P. Patange is Professor and Head in Department of Obstetrics and Gynecology at Krishna Institute of Medical Sciences; Vaishali Vhaval is Assistant Professor in Department of Obstetrics and Gynecology at Krishna Institute of Medical Sciences; Supriya S. Patil is Associate Professor in Department of Community Medicine at Krishna Institute of Medical Sciences; Sujata V. Patil is Associate Professor in Department of Community Medicine at Krishna Institute of Medical Sciences; S. V. Kakade is Associate Professor in Department of Community Medicine at Krishna Institute of Medical Sciences.
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Pratinidhi, A.K., Doke, P.P., Shrotri, A.N. et al. Field Testing of Second Generation of Colour-Coded Rings for Detecting Slow Progress of Labour at Rural Health Centres. J Obstet Gynecol India 66 (Suppl 1), 263–270 (2016). https://doi.org/10.1007/s13224-016-0873-3
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DOI: https://doi.org/10.1007/s13224-016-0873-3