Assessment of Knowledge and Practice of Midwives towards Care of New Born with ASPHYXIA in Addis Ababa Health Services, Ethiopia.
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Date
2012-06
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Addis Ababa University
Abstract
Background: In resource-rich countries, the incidence of severe perinatal asphyxia (causing death or severe neurological impairment) is about 1/1000 live births. In resource-poor countries, perinatal asphyxia is probably much more common. Data from hospital-based studies in such settings suggest an incidence of 5–10/1000 live births. Knowledge and skill of midwives has a
great impact in prevention and management of perinatal asphyxia and decrease neonatal mortality rate. Yet there is no studies were conducted in Ethiopia to assess the knowledge and practice of midwives towards care of new born with asphyxia .Therefore this study was designed to investigate the level of knowledge and identify the resuscitation skill on new born with
asphyxia. Objective: Assessment of knowledge and practice of midwives towards care of new born with asphyxia in Addis Ababa health services. Methods: Institutional based cross sectional study was conducted in Addis Ababa health service. There are 265 midwives who work in Addis
Ababa health services since the attributes being measured are not distributed normally the entire population was surveyed. Among776 the health services in Addis Ababa 58 have midwives; 6 public, one army, one police and 22 private hospitals, 23 health center and 5 private clinics. All midwives from all institutions was included in the study. Data was collected from 253 midwives
at the health service using self administered structured questionnaire. Data collectors were trained on how to use the data collection instrument, approach study participant.
Result: On this study 253 midwives were participated .The result of the study showed that the level of knowledge of asphyxia was low. Only 37.5% of midwives attained high overall knowledge score. Statically significant association was found between high knowledge score and service year>21 year (OR=3.17895% CI=1.068, 9.466) p-value 0.038 compared to service year<21 years. Overall practice of midwives scoring favorable practice was 53.4% .the finding revealed Statically significant association between high score practice and age of midwives45-54years of age (OR=8.308 ,95%CI 1.557,44.32)P=.013 and place of work health center (OR=1.895 95%CI
1.o72,3.349)p=.028 when compared to other place work. Conclusion and Recommendation
Generally overall knowledge and new born resuscitation practice of midwives were low in Addis Ababa health services. So incorporating and new born resuscitation in continuing education and professional training programs is recommended. Strength and integrate new born resuscitation with routine service through providing training for all midwives.
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Keywords
Midwives,New Born ,ASPHYXIA