Assessement of Knowledge and Practice of Obstetric Care Providers Toward Active Management of Third Stage of Labor at Public Health Centers in the Towns of Finfine Area Special Zone of Oromia Regional State, Ethiopia

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Addis Ababa University


Introduction: Postpartum hemorrhage is the most common leading cause of maternal mortality worldwide a nd m ost of the de ath i s i n de veloping c ountries i ncluding E thiopia. G lobally, i t i s responsible for more than 25% of all maternal death and this proportion is higher in sub-Saharan Africa. P ostpartum he morrhage c an b e m inimized a nd pr evented b y a pplication of a pr otocol known as active management of third stage of labor. Proportion of deliveries assisted by a skilled birth at tendant and antenatal c are co verage h ave b een u sed as a k ey proxy i ndicator f or monitoring global p rogress to wards d ecreasing m aternal mo rtality. However, t hese t wo indicators may not reflect the content or quality of the care provider. Objective; The o bjective o f t his s tudy i s t o as sess K nowledge an d p ractice o f o bstetric ca re providers t oward active m anagement of t hird s tage of l abour (AMTSL) at h ealth c enters o f Finfine area special zone of Oromia regional state, Ethiopia from April to May 2017 Methods and materials; Institutional ba sed d escriptive c ross s ectional s tudy de sign w as implemented. Whole health cen ters i n s elected t owns w ere i ncluded to th e s tudy w ith 118 obstetric care providers from all health centers. Interviewer-administered structure questionnaire and observation by using observational check list was employed. Data was entered using Epidata V.3.1 and exported to SPSS version 21.0 f or statistical analyses. Descriptive statistical analysis was u sed to p resent d ata w hile lo gistic r egression w ere us ed t o de termine a ssociation of independent variables with practice of obstetrics care providers. Results: Adequate know ledge on A MTSL was a chieved b y 40.7% of ob stetrics care providers while good practice on AMTSL was achieved by 18.6% of them. Sex, pre or in service training, access to reading materials and knowledge levels of obstetrics care providers were among factors that affects their practice on AMTSL. Conclusions and recommendations: The overall know ledge and pr actice of obs tetric c are providers on A MTSL in the present study were not satisfactory. In views of the findings of this study, it imp lies th at th e p ractice o f o bstetric c are p roviders w as mu ch lo wer th an th eir knowledge of AMTSL. The investigator calls for immediate interventions. Key Word; Knowledge, p ractice, A ctive m anagement o f t hird s tage of l abour, pos tpartum hemorrhage,Ethiopia



Knowledge, p ractice,; A ctive m anagement o f t hird s tage of l abour; pos tpartum hemorrhage; Ethiopia