Adaptation and validation of the World Health Organization’s on Safe Childbirth Checklist for the Brazilian context

Abstract

Objectives: to culturally adapt and validate the WHO Safe Childbirth Checklist (SCC) in Brazilian hospitals. Methods: a methodological study was carried out with consensus techniques and cross-cultural adaptation stages. The original SCC underwent three adaptation and validation stages: 1- nominal group with a panel of experts; 2- consensus conference at two maternity schools, in meetings with professionals who would use the list; 3- pre-test with a structured questionnaire for health professionals from both maternities (n=40) after 30 days of using the checklist. Validation criteria contemplated the content validity, adequated to Brazilian protocols, terminology and feasibility for local context. Results: the adapted SCC in Brazil was called the Lista de Verificação para o Parto Seguro - Brasil (LVPS-BR) (Checklist for Safe Childbirth -Brazil) and included 49 items. In the first stage, the 29 items of the original SCC were approved with some adaptations (e.g. CD4 was replaced by the Rapid HIV Test). In the second stage, some of the 29 items were adjusted and added 24 items more. In the third stage, three items were excluded, two were grouped and one more was added. Conclusions: the validation process provided a potentially useful LVPS for the Brazilian context, presenting validity and feasibility evidences for the Brazilian context.

The WHO Safe Childbirth Checklist implementation: impact on the prescription of magnesium sulphate through a one-year longitudinal study

“…The present study is part of a larger project that implemented the WHO SCC at two Brazilian maternity hospitals and five Mexican hospitals from 2015 to 2016 [15]. In the Brazilian facilities, this study monitored deliveries in 2-week periods from 6 months before to 6 months after implementation of the checklist.…”

“…The intervention consisted of the implementation of the SCC in early 2015 [15]. During the period before the checklist was implemented, awareness was raised about the use of the checklist, followed by the assignment of responsibilities for completing the checklist and monitoring the implementation and feedback on adherence.…”

“…The WHO Safe Childbirth Checklist (SCC) [14], currently adapted for Brazil [15], includes the use of MgSO 4 . At the site of this study, the SCC was implemented in 2014 [16].…”

Prática segura para partos em hospital universitário

“…5 Na realidade brasileira, estudo adaptou e validou a LVPS, ressaltando sua importância, visto que contempla boas práticas de segurança do paciente e avalia a mulher e o recém-nascido desde sua admissão até a alta hospitalar. 10 O guia de implementação da LVPS prevê adaptações para as diferentes realidades, de acordo com o local e especificidades geográficas. 11 Prevê ainda a participação dos profissionais de saúde, principalmente enfermeiros e médicos, para sua Prática segura para partos em hospital universitário | 4…”

Development and validation of a technology for obstetric intraoperative care safety

“…It is acknowledged that there are already some initiatives in the obstetric field to improve safety, such as the WHO Checklist for Safe Births, released in 2015, which contains essential evidence-based delivery practices; however, it does not include items related to the perioperative period (11) .…”