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Quality of caesarean delivery services and documentation in first-line referral facilities in Afghanistan: a chart review

Journal Article
(Published May, 2012)
Kim, Y.M. (Author),
Tappis, H, (Author),
Zainullah, P. (Author),
Ansari, N. (Author),
Evans, C. (Author),
Bartlett, L. (Author),
Zaka, N. (Author),
Zeck, W. (Author)
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In Afghanistan, improving access to quality emergency obstetric and newborn care (EmONC) services, including caesarean section, has been a priority of the Jhpiego program.  This chart review reveals that timely referral within and to EmONC facilities would decrease the proportion of CS deliveries that develop to emergency status. While the substantial mortality associated with CS in Afghanistan may be partly due to women coming late for obstetric care, efforts to increase the availability and utilization of CS must also focus on improving the quality of care to reduce mortality. Key goals should be encouraging use of partographs and improving decision-making and documentation around CS deliveries.

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Citation: 
Kim Y-M, Tappis H, Zainullah P, Ansari N, Evans C, Bartlett L, et al. Quality of caesarean delivery services and documentation in first-line referral facilities in Afghanistan: a chart review. BMC Pregnancy Childbirth. 2012;12:14.