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Table 1 Primary and secondary study outcomes

From: Evaluating the effect of the Helping Mothers Survive Bleeding after Birth (HMS BAB) training in Tanzania and Uganda: study protocol for a randomised controlled trial

Primary outcome indicators

Severe maternal morbidity

• PPH near-miss cases among all women who delivered in the facility

• PPH near-miss cases among women who suffered PPH during health facility delivery

• Near-miss cases among all women who delivered in the facility

Secondary outcome indicators

Mortality (case fatality) in PPH near misses

• Deaths in PPH near-miss cases

Preventive actions and case management for PPH

• Proportion of women who received AMTSL of total women with PPH

• Proportion of women with haemoglobin less than 70 g/L before discharge among those who suffered PPH

• Proportion of women who received blood transfusion, intravenous oxytocin, balloon tamponade or a hysterectomy among those who suffered PPH

• Proportion of women who need emergency transfer to a higher-level facility among those who suffered PPH in the health centre

Knowledge, skills and confidence in preventing and managing PPH

• Proportion of health care providers passing the knowledge test assessing preventive and emergency PPH care

• Confidence score summing five questions about AMTSL, PPH, assessing advanced care, completeness of the placenta and bimanual uterine compression

• Clinical skills score summing routine care including AMTSL, retained placenta and severe PPH

• Team work

Facility readiness for prevention and care of PPH

• Proportion of facilities with AMTSL protocols and emergency tray available on day of visit

• Proportion of facilities with at least a team of two midwives and one clinician on day of visit

• Proportion of facilities with oxytocin and infusion set available in delivery room on day of visit

• Stock-outs of oxytocin