EN-BIRTH study included five comprehensive emergency obstetric and neonatal care (CEmONC) hospitals: Maternal and Child Health Training Institute, Azimpur and Kushtia General Hospital in Bangladesh, Pokhara Academy Health Sciences in Nepal, and Muhimbili National Hospital and Temeke District Hospital in Tanzania. EN-BIRTH study participants were consenting women admitted to the labour and birth wards in the five study hospitals. Data collection was undertaken between July 2017 and July 2018 (Additional file 1). Observers worked in shifts to provide 24 h observation and would hand over ongoing observations to the in-coming staff if necessary.
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