DECIDE: a cluster-randomized controlled trial to reduce unnecessary caesarean deliveries in Burkina Faso

Table 5 Quality decision-making score among healthcare professionals by group allocation and period

Factor	Intervention group			Control group			Difference between^a Mean changes (95% CI)	P value
Factor	Baseline (n = 76)	Post intervention (n = 53)	Diff.	Baseline (n = 47)	Post intervention (n = 42)	Diff.
Overall score	33.97 (4.09)	39.30 (3.61)	5.33	33.82 (4.68)	35.90 (3.22)	2.08	3.42 (1.95 to 4.89)	0.000
Score for foetal distress	4.51 (1.50)	6.33 (0.89)	1.82	4.70 (1.48)	5.04 (1.14)	0.34	1.46 (0.58 to 2.34)	0.001
Score for labour dystocia	8.03 (1.36)	8.20 (0.86)	0.17	8.08 (1.99)	6.23 (1.26)	− 1.85	1.97 (1.21 to 2.73)	0.000
Score for previous caesarean	4.30 (0.98)	4.58 (0.81)	0.28	4.31 (1.02)	4.38 (0.79)	0.07	0.17 (− 0.15 to 0.51)	0.296
Score for pre-eclampsia/eclampsia	4.73 (0.91)	4.75 (0.91)	0.02	4.70 (0.83)	4.66 (0.78)	− 0.04	0.13 (− 0.24 to 0.52)	0.478
Score for other indications	12.38 (2.22)	15.32 (2.43)	2.94	12.02 (2.93)	15.59 (2.06)	3.57	− 0.63 (− 1.90 to 0.63)	0.327

Data are the mean score (standard deviation). Maximum score: 7 for foetal distress; 11 for labour dystocia; 6 for previous caesarean delivery; 6 for pre-eclampsia/eclampsia; 21 for other indications including premature rupture of membranes, intrauterine growth restriction, amniotic fluid anomalies, HIV seropositivity, post-term pregnancy, abruptio placentae and sequelae of genital mutilation
^aEstimation of intervention effect adjusted for the type of hospital, systematic review of partograms and healthcare professionals^’ qualifications and experience

ISSN: 1741-7015