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 |