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Safe Birth Checklist

Medium 18 items · 30 min
testuser's avatar
testuser Published 2 months ago
Health

This checklist helps health workers and facility teams implement practical actions to improve the safety and quality of facility-based childbirth for mothers and newborns. Inspired by World Health Organization guidelines. Always consult a qualified healthcare professional.

Inspired by World Health Organization (WHO) guidelines. Always consult a qualified healthcare professional where applicable.

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  1. Confirm staffing and roles for current shift — List who will attend deliveries and emergency contacts.
  2. Assign a birth companion if the mother requests one — Confirm the companion's name and role to support the mother.
  3. Prepare delivery room
  4. Clean and disinfect surfaces and linens — Use approved disinfectants and fresh linens before each birth.
  5. Set up resuscitation equipment with working bag-mask and suction — Check functionality, batteries, and oxygen if available.
  6. Prepare clean delivery kit and uterotonic — Include sterile gloves, clamps, blade, cord tie and oxytocin per protocol.
  7. Review mother's medical history and allergies — Note past cesareans, bleeding risks, hypertension, or other conditions.
  8. Obtain informed consent and explain planned care — Use clear, respectful language and confirm understanding.
  9. Monitor labor progress using a partograph or regular checks — Record cervical dilation, fetal heart rate, and contraction pattern.
  10. Check maternal vital signs per facility protocol — Measure blood pressure, pulse, temperature, and urine as indicated.
  11. Recognize and act on complications; arrange referral when needed — Follow referral criteria for hemorrhage, eclampsia, or fetal distress.
  12. Provide respectful, privacy-preserving care; ask permission before exams — Ensure dignity, language support, and informed involvement.
  13. Provide immediate newborn care
  14. Assess newborn breathing and clear the airway if needed — Stimulate, suction mouth then nose; call for help if no effective breathing.
  15. Start skin-to-skin contact and keep the newborn warm — Dry baby and place on mother's chest; cover both with a warm blanket.
  16. Initiate breastfeeding within the first hour — Support latch and provide help if the mother or baby has difficulty.
  17. Administer uterotonic after birth and monitor for bleeding — Give per protocol and check uterine tone and blood loss frequently.
  18. Document delivery details and give postnatal follow-up instructions — Record time of birth, interventions, and advise on danger signs and appointments.
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