Journal article

WHO Better Outcomes in Labour Difficulty (BOLD) project: innovating to improve quality of care around the time of childbirth

Olufemi T Oladapo, Joao Paulo Souza, Meghan A Bohren, Oezge Tuncalp, Joshua P Vogel, Bukola Fawole, Kidza Mugerwa, A Metin Guelmezoglu

REPRODUCTIVE HEALTH | BMC | Published : 2015


As most pregnancy-related deaths and morbidities are clustered around the time of childbirth, quality of care during this period is critical to the survival of pregnant women and their babies. Despite the wide acceptance of partograph as the central tool to optimize labour outcomes for over 40 years, its use has not successfully improved outcomes in many settings for several reasons. There are also increasing questions about the validity and applicability of its central feature - "the alert line" - to all women regardless of their labour characteristics. Apart from the known deficiencies in labour care, attempts to improve quality of care in low resource settings have also failed to address ..

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Funding Acknowledgements

This commentary was prepared as part of the WHO BOLD project with financial support from the Bill & Melinda Gates Foundation. We appreciate the technical advice from the members of the WHO BOLD Research Group (Priya Agrawal, Domingos Alves, Deborah Armbruster, France Donnay, Justus Hofmeyr, Petra ten Hoope-Bender, Vanora Hundley, David Kyaddondo, Tina Lavender, Simon Lewin, Satu Miettinen, Lanre Olutayo, Bob Pattinson, Gleici Perdona, Kate Ramsey, Mary Ellen Stanton and Harshad Sanghvi).