Evidence Based Intrapartum Practice and Associated Factors among Obstetric Care Providers in Selected Public Hospitals of Addis Ababa, Ethiopia,2020.
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Date
2020-06
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Addis Ababa University
Abstract
Background: The World Health Organization stated that ‘child birth is a normal process and in normal birth, there should be scientific based reason to interfere with’ and encouraged practices that are ostensibly supported by evidences. But, the reality experienced by women and babies in a multitude of settings is far from this, and access to essential interventions is not universal. However, only limited study was conducted in Ethiopia to assess thisproblem.
Objective: The aim of this study is to assess magnitude of evidence-based intra-partum
practice and its associated factors among obstetric care providers in selected public hospital of Addis Ababa city, Addis Ababa, Ethiopia 2020.
Methods: A facility-based, cross-sectional study design was conducted in Addis Ababa city selected public hospitals. A simple random sampling technique was used to select 398 study participants after the sampling procedure is undertaken. The data was collected using structured and pre-tested self-administered questionnaire; and structured and pre-tested
observational checklist from March 17 to April 16/2020. Bivariate and multivariable logistic regression were done to identify factors associated with evidence-based intra-partum practice using odds ratio at 95% C.I and P-value < 0.05 was considered statistically significant. SPSS version 25 was used for data analysis.
Result: From the total of 398 study participants 386 responded for the question with a response rate of (97%).The overall magnitude of evidence-based intrapartum care was 51% with 95% CI. There is a significant association between evidence-based intrapartum practice and knowledge of the care provider [AOR=2.81; 95% CI (1.79, 4.37)], having of training
[AOR=1.73; 95% CI (1.12-2.67)], salary [AOR=2.41; 95% CI (1.20-4.84)] and educational level [AOR=4.09; 95% CI (1.45-11.55)] at p-value < 0.05.
Conclusion and recommendation: The current evidence-based practice of intrapartum care among obstetric care providers in Addis Ababa public hospitals was 51%. Educational level,knowledge, attitude, salary and training were factors statistically associated with evidence based intrapartum practice. Avail updated intrapartum care guidelines, providing continuous training; be helpful for maximizing evidence-based intrapartum care.
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Keywords
Evidence-based intrapartum care, knowledge, attitude and obstetric care providers.