Categories

Na

Indicators

Items

Scores

Access to caesarean section

2

geographic access to health facilities

<15 Kilometers

1

≥15 kilometers

0

financial access

No delay due to lack of money

1

Delay due to lack of money

0

Preoperative diagnosis

3

Completeness of pre-operative clinical assessment

≥8 over X compulsoryb clinicalb parameters&

1

<8 over X compulsory clinicalb parameters&

0

Qualification of the care provider who indicated the surgery

Obstetrician-Gynaecologist/Midwife/General practitioner

1

Others

0

Appropriateness of the indication of the caesarean sectiond

Appropriate (Absolute/Cautiousness/Compulsory)

1

Inappropriate (convenience/abusive)

0

Surgical resources and per-operative parameters

7

Completeness of surgical team

Complete (≥6 staffs)c

1

Incomplete (<6 staffs)c

0

Availability of a functional surgical theatre

Available

1

Unavailable

0

Availability of blood donors

Available

1

Unavailable

0

Qualification of the cesarean-provider

Obstetrician/Surgeon/General practitioner

1

Nurse, non-health professionals

0

Qualification of the anaesthetist

Certified anaesthetist doctor/or nurse

1

Others non certified nurse,

0

Intra-operative complications

No complication

1

Any complication

0

Availability of the cesarean kit (surgical and anaesthetic)

Available

1

Unavailable

0

Post-operative care and outcome

7

Intensive monitoring within the first two hours

Effective

1

Ineffective

0

Duration of postoperative hospital stay

≤7 days

1

>7 days

0

Lateness or omission of care/drug administration

No

1

Yes

0

Maternal postoperative complications

No complication

1

Any complication

0

Compliance of nursing care with medical instructions

Compliant

1

Not compliant

0

5th minute Apgar score

≥7/10

1

<7/10

0

Materno-neonatal survival

Mother and child(ren) alive

2

Maternal or neonatal death

0