Active Management of Third Stage of Labor: Practice and Associated Factors among Obstetric Care Providers in North Wollo, Amhara Region, Ethiopia.
Journal
Obstetrics and gynecology international
ISSN: 1687-9589
Titre abrégé: Obstet Gynecol Int
Pays: United States
ID NLM: 101517078
Informations de publication
Date de publication:
2021
2021
Historique:
received:
25
07
2021
accepted:
06
12
2021
entrez:
10
1
2022
pubmed:
11
1
2022
medline:
11
1
2022
Statut:
epublish
Résumé
World Health Organization strongly recommends that every obstetrical provider at birth needs to have knowledge and skills on active management of the third stage of labor and use it routinely for all women. However, implementation of this lifesaver intervention by skilled birth attendants is questionable because 3% to 16.5% of women still experience postpartum hemorrhage. Even though coverage of giving births at health facilities in Ethiopia increases, postpartum hemorrhage accounts for 12.2% of all maternal deaths occurring in the country. Lack of the necessary skills of birth attendants is a major contributor to these adverse birth outcomes. This study aimed to assess the active management of the third stage of labor practice and associated factors among obstetric care providers. An institution-based cross-sectional study design was applied from March 15 to April 15, 2020. Multistage sampling techniques were used to get 254 participants, and data were collected using self-administered structured questionnaires and an observation checklist. Data were entered into EpiData version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 23.0 for analyses. The multivariable logistic regression model was used at 95% confidence interval with Only one-third of obstetric care providers had good practice during active management of third stage of labor. Practice was significantly associated with work experience, knowledge, the presence of assistance during third-stage management, and time of uterotonic drug preparation. Consistent and sustainable on job training and clinical audit should be applied in all facilities with regular supportive supervision and monitoring. Furthermore, team work and adequate preparation should be done to facilitate the management of active third stage of labor.
Sections du résumé
BACKGROUND
BACKGROUND
World Health Organization strongly recommends that every obstetrical provider at birth needs to have knowledge and skills on active management of the third stage of labor and use it routinely for all women. However, implementation of this lifesaver intervention by skilled birth attendants is questionable because 3% to 16.5% of women still experience postpartum hemorrhage. Even though coverage of giving births at health facilities in Ethiopia increases, postpartum hemorrhage accounts for 12.2% of all maternal deaths occurring in the country. Lack of the necessary skills of birth attendants is a major contributor to these adverse birth outcomes.
OBJECTIVES
OBJECTIVE
This study aimed to assess the active management of the third stage of labor practice and associated factors among obstetric care providers.
METHODS
METHODS
An institution-based cross-sectional study design was applied from March 15 to April 15, 2020. Multistage sampling techniques were used to get 254 participants, and data were collected using self-administered structured questionnaires and an observation checklist. Data were entered into EpiData version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 23.0 for analyses. The multivariable logistic regression model was used at 95% confidence interval with
CONCLUSION
CONCLUSIONS
Only one-third of obstetric care providers had good practice during active management of third stage of labor. Practice was significantly associated with work experience, knowledge, the presence of assistance during third-stage management, and time of uterotonic drug preparation. Consistent and sustainable on job training and clinical audit should be applied in all facilities with regular supportive supervision and monitoring. Furthermore, team work and adequate preparation should be done to facilitate the management of active third stage of labor.
Identifiants
pubmed: 35003266
doi: 10.1155/2021/9207541
pmc: PMC8741404
doi:
Types de publication
Journal Article
Langues
eng
Pagination
9207541Informations de copyright
Copyright © 2021 Wondwosen Molla et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interests.
Références
BMC Pregnancy Childbirth. 2013 Oct 12;13:186
pubmed: 24119329
BMC Pregnancy Childbirth. 2017 Sep 7;17(1):292
pubmed: 28882109
Acta Obstet Gynecol Scand. 2013 Nov;92(11):1277-83
pubmed: 23962221
BMC Pregnancy Childbirth. 2014 Jun 05;14:193
pubmed: 24903893
Int J Gynaecol Obstet. 2006 Sep;94(3):243-53
pubmed: 16842791
Lancet Psychiatry. 2015 Dec;2(12):1052-4
pubmed: 26613844
Lancet. 2016 Jan 30;387(10017):462-74
pubmed: 26584737
BMC Pregnancy Childbirth. 2013 Feb 21;13:46
pubmed: 23433172
Birth. 2008 Sep;35(3):220-9
pubmed: 18844648
Bull World Health Organ. 2009 Mar;87(3):207-15
pubmed: 19377717
J Obstet Gynecol Neonatal Nurs. 2017 May - Jun;46(3):e56-e64
pubmed: 28286075
Int J Gynaecol Obstet. 2012 May;117(2):108-18
pubmed: 22502595
Cochrane Database Syst Rev. 2001;(4):CD001808
pubmed: 11687123
BMC Pregnancy Childbirth. 2013 Feb 20;13:44
pubmed: 23421792
Am Fam Physician. 2007 Mar 15;75(6):875-82
pubmed: 17390600
BMC Public Health. 2017 Feb 2;17(1):160
pubmed: 28152987
J Obstet Gynaecol Can. 2004 Dec;26(12):1100-2, 1108-11
pubmed: 15696639