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Safe Childbirth Implementation Checklist

Medium 15 items · 30 min
testuser's avatar
testuser Published 2 months ago
Health

This checklist helps health teams and facility managers implement a practical safe childbirth checklist to improve maternal and newborn care. It’s aimed at clinicians, midwives, and facility leaders who want a simple set of actions to increase safety and consistency. 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. Secure leadership commitment for checklist use — Obtain visible support from facility managers and clinical leads.
  2. Schedule skilled birth attendants for all shifts — Ensure trained staff are rostered and aware of responsibilities.
  3. Hold a team briefing on checklist purpose and roles — Short, focused session before shifts to review use and responsibilities.
  4. Assess facility readiness for childbirth care
  5. Check availability of essential medicines (e.g., oxytocin, magnesium sulfate) — Confirm stocks and expiry dates.
  6. Verify functional newborn resuscitation equipment (bag-mask, suction) — Test and replace faulty items before shifts.
  7. Ensure clean delivery kits and sterilization supplies — Check availability of gloves, sterile blades, and cleaning supplies.
  8. Use the checklist at four key pause points — Admission, pre-delivery, immediately after birth, discharge.
  9. Monitor and record maternal vital signs regularly — Record blood pressure, pulse, temperature and bleeding.
  10. Prepare a clear emergency referral and transport plan — List contacts, transport options and stabilization steps.
  11. Ensure immediate newborn care: warmth and breastfeeding — Provide skin-to-skin, dry baby, and initiate breastfeeding early.
  12. Train staff on infection prevention and hand hygiene — Reinforce simple handwashing and clean techniques.
  13. Keep simple records and review outcomes weekly — Track complications, referrals, and checklist use rates.
  14. Hold brief shift debriefs to resolve checklist problems — 5–10 minute huddles to share issues and improvements.
  15. Adapt checklist language and layout to local context — Translate and simplify wording for staff where needed.
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