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Table 1 Auditable indications based on national protocols

From: Impact of Medical Doctors Global Health and Tropical Medicine on decision-making in caesarean section: a pre- and post-implementation study in a rural hospital in Malawi

Indication

Criteria

Indications related to prolonged labour

For example:

Obstructed labour (as an extreme form of prolonged labour)

Cephalopelvic disproportion

Prolonged first stage of labour

Prolonged second stage of labour

Cervical dystocia

Oedematous cervix

Prolonged 1st stage = non-progressing dilatation > 2 h in case of ruptured membranes + at least three moderate contractions/10 min.

Prolonged 2nd stage = duration second stage > 1 h

Foetal distress

Foetal heart rate < 110 or > 170 beats per minute for > 1 min on intermittent auscultation, in between contractions.

Foetal malpresentation

Perioperative foetal presentation =

Breech

Brow presentation

Face presentation (mento-posterior)

Compound presentation

Transverse

Two or more previous scars

Two or more previous caesarean sections documented in history in partograph