Fig. 1From: Learning before leaping: integration of an adaptive study design process prior to initiation of BetterBirth, a large-scale randomized controlled trial in Uttar Pradesh, IndiaChange in observed essential birth practices performed by birth attendants following implementation of the BetterBirth Program in the first two facilities in Uttar Pradesh following initial adaptation. Trained observers collected data at four predetermined observation time points (OPs) during the perinatal process (OP1: at admission; OP2: before pushing; OP3: immediate post-delivery; OP4: within 1Â h post-delivery). Numbers observed OP1: pre 20, post 33; OP2: pre 23, post 23; OP3: pre 23, post 23; OP4: pre 23, post 23Back to article page