Funding for this research was provided by:
Received: 4 September 2017
Accepted: 23 January 2018
First Online: 4 April 2018
Ethics approval and consent to participate
: Ethical approval was obtained from the University of Rwanda College of Medicine and Health Sciences Institutional Review Board (Reference number No 448/CMHS IRB/2016). Informed consents were obtained from the maternity staff and women being observed.
: Not applicable
: The authors declare that they have no competing interests.
: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.