Knowledge, Attitude and Practice Towards Management of Birth Asphyxia Among Nurses and Midwives Working in Labour Ward and Nicu in Governmental Hospitals, Addis Ababa, Ethiopia, 2017.
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Date
2017-08
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Addis Ababa University
Abstract
Introduction: Birth asphyxia is failure to initiate and sustain breathing immediately after birth.
According to world health organization (WHO), it is the third major cause of neonatal death after
infections and Preterm births in developing countries, accounts for an estimated 23% of the
annual 4 million neonatal deaths. The nurses require a high level of knowledge in managing birth
asphyxia that occurs in newborn and assessment skills to practice it in NICU and labour ward to
prevent further complications in the newborn. This will enable quality care which increase
likelihood of newborns survival and promote optimal quality care.
Objective: To assess knowledge, attitude and practice of nurses working in NICU and labour
ward toward management of birth asphyxia in governmental hospitals Addis Ababa, Ethiopia.
Methodology: Institutional based Cross sectional study was conducted to assess the knowledge,
attitude and practice of staff nurses working in NICU and labour ward toward management of
birth asphyxia at governmental hospital in Addis Ababa from February-March, 2017. Systematic
random sampling technique wasutilized to select study subjects and to determine sample size a
single proportion formula was used. According to this formula the sample size of the study was
168. Pretest was done and data entered into Epi-info version (3.5.1) statistical software package
then exported to SPSS software package version 21 for further analysis.Result was presented by
text, table, pie chart and histogram.
Result:Of the total 163, 108 (66.3%)of the respondents have knowledge of birth asphyxia
management.Nurses and midwives whogot training were 2.6 times {AOR=2.6; 95% CI (1.02-
6.63)} more likely to have knowledge of birth asphyxia compared to those didn’t get training. In
relation to practice profession was significantly associated with practice for birth asphyxia
management, nurses were 4.7 times {(AOR=4.71; CI (1.306, 16.988)} more likely to practice
compared to those midwives.
Conclusion and Recommendation: The study revealed about sixty six percent of nurses and
midwives have knowledge of birth asphyxia management. More than half of them have good
practice and positive attitude towards the management of birth asphyxia. Training should be
considered to increase knowledge of nurses and midwives on management of birth asphyxia.
Keywords: Birth asphyxia, knowledge, attitude, practice, NICU, labour ward, nurses, midwives
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Keywords
Birth asphyxia, knowledge, Attitude, Practice, NICU, Labour ward