Setting
This study was conducted in the new
maternity unit of Mnazi Mmoja
Hospital (MMH), the referral hospital on the Zanzibar archipelago that
caters for 11.000-13,000 births annually.(20) The facility-based
stillbirth rate at MMH is 39 per 1000 total births, around half of which
occur intrapartum.(21, 22) The maternity unit consists of a maternity
ward with one admission-, three labor- and delivery rooms, and two ANC
clinics. The regular ANC is run by nurses. The obstetric ANC functions
as referral clinic for women with complications during pregnancy and is
operated by registrar doctors.