摘要:In the field of maternal and newborn health, there have been calls to prioritize the intra-partum period and promote facility delivery to meet maternal and newborn mortality reduction goals. This aim is based on a decade of epide- miological work identifying causes of death, systematically reviewing effective inter ventions, and modelling the impact of intervention coverage on mortality. 1 Yet increases in facility delivery and in known effective interventions provided in those facilities have not always had the expected impact. 2 This has led to growing concern about the quality of the care that women are experiencing during labour and delivery.