Obstetrics and Gynecology

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Browsing Obstetrics and Gynecology by Subject "Knowledge, attitude, practice and neonatal resuscitation"

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    Knowledge, Attitude and Practice of Health Professionals towards Neonatal Resuscitation in three Teaching Hospitals, Addis Ababa, Ethiopia.
    (Addis Abeba University, 2021-09) Eshetu, Selam; Dr.Teklu, Sisay(Associate Professor of OBGYN); Dr. Worku, Dawit (Assistant Professor of OBGYN and Gynecology Oncologist)
    Background: Neonatal mortality is the issue of local, regional, national, continental and global. For example, it is observed in both middle- and low-income countries, especially sub-Saharan Africa including Ethiopia. Neonatal death is multi factorial, but the most important single causes of neonatal deaths were accounted for preterm birth, birth asphyxia, and sepsis. Effective resuscitation, if done timely, can drastically reduce neonatal deaths. Objective: To assess the knowledge, attitude and practice toward neonatal resuscitation among midwives, NICU nurses, Addis Ababa university pediatrics and OBGYN residents in Tikur Anbesa Specialized, Zewditu Memorial and Gandhi Memorial Hospital, Addis Ababa, Ethiopia. Methods: A Cross-Sectional research design was conducted from March – June 2021 and the respondents were selected by using simple random sampling techniques, 204 have returned the questionnaire filled complete (response rate of 98.07%). The data collection tool was closed ended questionnaires. Data was verified, coded, and entered to Epi Data Software version 3.1 and was exported into SPSS version 25 Software for analysis. The degree of association between variables was assessed using logistic regression. Finally, p-value less than 0.05 were considered statistically significant. Results: The good knowledge level among midwifes, nurses, pediatrics residents and OBGYN residents were 30.9%, 28.2%, 42.4% and 42.9% respectively. Neonatal resuscitation training and the time training was given, was found to be the only predictor of knowledge score of respondents (AOR = 3.1, 95 % CI: 1.2 - 4.8, P value = 0.003) and (AOR =5.6, 95 % CI: 1.19 - 6.72, P value = 0.044) respectively. The majority 58.80% of the participants had good attitude towards neonatal resuscitation. Whereas the good practice score among midwifes, nurses, pediatrics residents and OBGYN residents were 59.8%, 33.3%, 59.6% and 39.4% respectively. The only determining factor associated with poor practice score was lack of availability of resuscitation guideline (AOR=2.55, 95% CI: 1.90-8.28, p=0.004). Having good knowledge were found to be the only predictor to have good attitude level (AOR=0.357, 95% CI: 0.18-0.67, p=0.001). Conclusion and recommendations: Knowledge, attitude and practice of nurses and midwifes toward neonatal resuscitation were inadequate. Training and the time training given were found to be predictor for knowledge while presence of guideline was predictors for practice. Continuous and regular training for health professionals should be strengthen.