title: Field Testing of Second Generation of Colour-Coded Rings for Detecting Slow Progress of Labour at Rural Health Centres.
abstract: BACKGROUND
  An innovative appropriate technological tool of colour-coded rings based on cervicographic principles was developed to monitor deliveries.
  
  
  OBJECTIVE
  To study efficacy, feasibility and acceptability of colour-coded rings for monitoring active phase of labour.
  
  
  METHODS
  All consecutive deliveries occurring at selected primary health centres from Pune, Satara and Kolhapur Districts of Maharashtra, during 15 months period were included in the study and matched control groups. Training of medical officers and nurses from both study and control area was undertaken in routine natal and post-natal care. In addition, training of use of colour-coded rings was given to health workers from the study area.
  
  
  RESULTS
  There were 6705 live births from study area and 6341 from control area. Perinatal mortality rate for study area was 15.9/1000 LB while that was 23.9/1000 LB for control area (p < 0.01). The cause-specific perinatal mortality due to birth asphyxia for the study area was 4.2/1000 LB while that was 8.5/1000 LB for control area (p = 0.0019).
  
  
  CONCLUSIONS
  Higher use rate of colour-coded rings associated with reduction in cause-specific mortality rate due to birth asphyxia in study area indicated that use of colour-coded rings is effective, feasible and acceptable option to cervicography under field conditions.
authors.affiliation: Krishna Institute of Medical Sciences Deemed University, Karad, India.
authors.forename: Asha K
authors.identifier: 0000-0001-9964-7426
authors.initials: AK
authors.lastname: Pratinidhi
authors.affiliation: Community Medicine Department, BVDU Medical College, Pune, India.
authors.forename: P P
authors.initials: PP
authors.lastname: Doke
authors.affiliation: B.J. Medical College, Pune, India.
authors.forename: A N
authors.initials: AN
authors.lastname: Shrotri
authors.affiliation: Department of Obstetrics and Gynecology, Krishna Institute of Medical Sciences, Karad, India.
authors.forename: R P
authors.initials: RP
authors.lastname: Patange
authors.affiliation: Department of Obstetrics and Gynecology, Krishna Institute of Medical Sciences, Karad, India.
authors.forename: Vaishali
authors.initials: V
authors.lastname: Vhaval
authors.affiliation: Department of Community Medicine, Krishna Institute of Medical Sciences, Karad, India.
authors.forename: Supriya S
authors.initials: SS
authors.lastname: Patil
authors.affiliation: Department of Community Medicine, Krishna Institute of Medical Sciences, Karad, India.
authors.forename: Sujata V
authors.initials: SV
authors.lastname: Patil
authors.affiliation: Department of Community Medicine, Krishna Institute of Medical Sciences, Karad, India.
authors.forename: S V
authors.initials: SV
authors.lastname: Kakade
keywords: Birth asphyxia; Colour‐coded rings; Slow progress of labour