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Fig. 2 | Implementation Science

Fig. 2

From: Learning before leaping: integration of an adaptive study design process prior to initiation of BetterBirth, a large-scale randomized controlled trial in Uttar Pradesh, India

Fig. 2

Change in observed essential birth practices performed by birth attendants following implementation of the BetterBirth Program in three facilities in Uttar Pradesh after the second 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 1 h post-delivery). Numbers observed per observation point (OP). OP1: pre 624, post 335; OP2: pre 521, post 402; OP3: pre 523, post 403; OP4: pre 522, post 409. *p < 0.001. Rates are adjusted for clustering by site

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