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Facility-based active management of the third stage of labour: assessment of quality in six countries in sub-Saharan Africa

Overview of attention for article published in Bulletin of the World Health Organization, August 2015
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (69th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (55th percentile)

Mentioned by

policy
1 policy source
twitter
1 tweeter

Citations

dimensions_citation
25 Dimensions

Readers on

mendeley
96 Mendeley
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Title
Facility-based active management of the third stage of labour: assessment of quality in six countries in sub-Saharan Africa
Published in
Bulletin of the World Health Organization, August 2015
DOI 10.2471/blt.14.142604
Pubmed ID
Authors

Linda Bartlett, David Cantor, Pamela Lynam, Gurpreet Kaur, Barbara Rawlins, Jim Ricca, Vandana Tripathi, Heather E Rosen

Abstract

To assess the quality of facility-based active management of the third stage of labour in Ethiopia, Kenya, Madagascar, Mozambique, Rwanda and the United Republic of Tanzania. Between 2009 and 2012, using a cross-sectional design, 2317 women in 390 health facilities were directly observed during the third stage of labour. Observers recorded the use of uterotonic medicines, controlled cord traction and uterine massage. Facility infrastructure and supplies needed for active management were audited and relevant guidelines reviewed. Most (94%; 2173) of the women observed were given oxytocin (2043) or another uterotonic (130). The frequencies of controlled cord traction and uterine massage and the timing of uterotonic administration showed considerable between-country variation. Of the women given a uterotonic, 1640 (76%) received it within three minutes of the birth. Uterotonics and related supplies were generally available onsite. Although all of the study countries had national policies and/or guidelines that supported the active management of the third stage of labour, the presence of guidelines in facilities varied across countries and only 377 (36%) of 1037 investigated providers had received relevant training in the previous three years. In the study countries, quality and coverage of the active management of the third stage of labour were high. However, to improve active management, there needs to be more research on optimizing the timing of uterotonic administration. Training on the use of new clinical guidelines and implementation research on the best methods to update such training are also needed.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 96 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Unknown 95 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 23%
Researcher 15 16%
Student > Ph. D. Student 12 13%
Student > Bachelor 10 10%
Student > Postgraduate 9 9%
Other 13 14%
Unknown 15 16%
Readers by discipline Count As %
Medicine and Dentistry 32 33%
Social Sciences 16 17%
Nursing and Health Professions 13 14%
Engineering 3 3%
Economics, Econometrics and Finance 2 2%
Other 10 10%
Unknown 20 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 November 2015.
All research outputs
#4,319,389
of 14,573,919 outputs
Outputs from Bulletin of the World Health Organization
#1,309
of 2,775 outputs
Outputs of similar age
#84,930
of 282,065 outputs
Outputs of similar age from Bulletin of the World Health Organization
#17
of 40 outputs
Altmetric has tracked 14,573,919 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 2,775 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.1. This one has gotten more attention than average, scoring higher than 50% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 282,065 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 69% of its contemporaries.
We're also able to compare this research output to 40 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 55% of its contemporaries.