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.