@Article{ AUTHOR = {Maroof, Saira Maroof and Rashid, Zubaida Rashid and Sharif, Imtenan Sharif and Alam, Marukh Alam and Nawaz, Rida Nawaz and Nawaz, Salman Nawaz and Amin, Maaz Amin and Islam, Naseer ul Islam and Hussain, Syed Irshad Hussain and Khan, Aimal Khan}, TITLE = {A Step Towards Lowering Maternal Mortality: Adoption of Elements of WHO’s Safe Childbirth Checklist at A Tertiary Care Hospital of Rawalpindi, Pakistan: A Cross Sectional Survey}, JOURNAL = {The International Journal of Frontier Sciences}, VOLUME = {3}, YEAR = {2019}, NUMBER = {2}, PAGES = {--}, URL = {https://tijfs.jams.pub/article/3/2/47}, ISSN = {2618-0367}, ABSTRACT = {Abstract Background: Use of the World Health Organization’s (WHO) Safe Childbirth Checklist (SCC) has been associated with a significant reduction of maternal mortality. Method: A descriptive cross-sectional survey conducted at a tertiary care hospital of Rawalpindi in labour room and postnatal ward from February 2018 to July 2018. A sample size of 359 was estimated using WHO sample size calculator and were enrolled using purposive sampling technique. A close ended WHO standardized questionnaire covering the 22 elements of WHO SCC was used. Frequencies and percentages were documented of variables and data was analysed using SPSS version 23. Results: Mean age of participants was 27 ± 4.25 years. On admission, it was observed that being centre of excellence and referral, there was 100% availability of gloves and supplies to clean hands before and after each vaginal examination. Just before pushing or caesarean, it was found that in 342 (95.3%) patients, assistant was identified to help at time of birth. Immediately after one hour of birth, it was noted that 79 (22%) patients were bleeding abnormally and were immediately addressed. We also found out that only 79 (22%) of the mothers were counselled regarding family planning. Almost half of the participant mothers 182 (50.7%) or their companions were counselled regarding danger signs and to seek care immediately which should have been 100%. Conclusion: Excellent adoption of some of the element up to 100% was observed while some of the elements of checklist were poorly adopted; noticeable was counselling regarding family planning options immediate postpartum.}, DOI = {10.37978/tijfs.v3i2.53} }