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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Date
2017-06
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Addis Ababa University
Abstract
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
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Keywords
Knowledge, p ractice,; A ctive m anagement o f t hird s tage of l abour; pos tpartum hemorrhage; Ethiopia