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Table 2 Distribution of care around delivery (CAD) indicators by site

From: Evaluating the effect of care around labor and delivery practices on early neonatal mortality in the Global Network’s Maternal and Newborn Health Registry

  Total Zambia Kenya Guatemala Belagavi Nagpur Pakistan p-Valuea
Live births, N 150,848 16,069 13,989 6351 55,909 35,458 23,072  
CAD1: Delivery in a hospital versus clinic, N (%) 91,437 (60.6) 3,178 (19.8) 4,162 (29.8) 5884 (92.6) 40,521 (72.5) 24,920 (70.3) 12,772 (55.4)  < .0001
CAD2: Skilled birth attendant at delivery, N (%) 75,359 (50.0) 500 (3.1) 483 (3.5) 6058 (95.4) 35,192 (62.9) 21,870 (61.7) 11,256 (48.8)  < .0001
CAD3: Fetal heart rate assessed prior to delivery, N (%) 142,177 (94.3) 15,568 (96.9) 13,340 (95.4) 6262 (98.6) 55,602 (99.5) 35,433 (99.9) 15,972 (69.2)  < .0001
CAD4: New gloves for delivery, N (%) 150,463 (99.7) 16,045 (99.9) 13,975 (99.9) 6349 (100.0) 55,882 (100.0) 35,357 (99.7) 22,855 (99.1)  < .0001
CAD5: Clean cord practices, N (%) 148,877 (98.7) 16,042 (99.8) 13,954 (99.7) 4673 (73.6) 55,789 (99.8) 35,443 (100.0) 22,976 (99.6)  < .0001
CAD6: Early initiation of breast feeding (within 1 h of birth), N (%) 113,352 (75.1) 14,685 (91.4) 12,115 (86.6) 4402 (69.3) 47,555 (85.1) 30,503 (86.0) 4,092 (17.7)  < .0001
CAD7: Skin-to-skin practices (immediately after birth), N (%) 96,602 (64.0) 14,120 (87.9) 11,369 (81.3) 3450 (54.3) 40,624 (72.7) 25,637 (72.3) 1,402 (6.1)  < .0001
CAD8: Delayed bathing (> 6 h of birth), N (%) 135,742 (90.0) 13,800 (85.9) 8,877 (63.5) 3828 (60.3) 54,053 (96.7) 35,158 (99.2) 20,026 (86.8)  < .0001
  1. aWald p-values obtained from log-binomial models using generalized estimating equations to account for the correlation of outcomes within cluster