Maaloe N, et al. - This article was written with the objective to assess the impact of locally-tailored labour management guidelines (PartoMa guidelines) on intrahospital stillbirths and birth asphyxia. While low human resources and substandard care remain major challenges, PartoMa guidelines were related to improvements in care, leading to reductions in stillbirths and birth asphyxia. Outcomes furthermore emphasize the central role of improved foetal surveillance and restricted intrapartum oxytocin use in safety during childbirth.