Knowledge and Practice Assessment of Active Manegement Third Stage of Labor Among Obstetric Care Providers At Selected Government Hospitals in Addis Ababa, Ethiopia 2017
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Date
2017-06
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Addis Ababa University
Abstract
Back ground: The third stage of labor is considered to be the most hazardous stage for the
birthing woman due to the risk of profuse hemorrhage. Over 90% of women who die of
postpartum hemorrhage, the most important cause is uterine atony, there is severe lack of
knowledge, skill and practice among attendant at birth needs toward the third stage of labor, as
well as access to required supplies and equipment
Objective: To assess the Knowledge and Practice of Obstetric Care Providers on active
management third stage of labor at selected government hospitals in Addis Ababa, Ethiopia
2017.
Methods: Institution based cross sectional study design was conducted from March to April
2017 among Obstetric Care Providers at selected government hospital in Addis Ababa,
Convenience sampling method were carried out. The questionnaires have closed ended questions
and which covers socio demographic information, knowledge, and practice of obstetric care
providers on active management of third stage of labor. It was in English language and
completeness checked, coded and entered into Epi-Data version 3.1 and analyzed using SPSS
version 22. Confidence interval 95% and P-Value 50%
Result: From the total of 136 participants the response rate was 135(99.3%). 90(66.7%) had
overall good knowledge. qualification of the respondents was significantly associated to
knowledge; interns are 5.5 times more likely knowledgeable than residents. were as Sex is
significantly associated with practice. Females are 2.56 times more likely associated than males
Conclusion: Results from this study showed poor Knowledge and practice of obstetric care
providers towards AMTSOL. Almost half of the respondents had poor knowledge and more than
half are with poor practice. Therefore, extensive training and supervision should be provided to
all obstetric care providers especially those who have done at labor and delivery unit to public
hospital
Key words: Active Management Third Stage of Labor, Knowledge, Practice, Obstetric Care
Providers
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Keywords
Active Management Third Stage of Labor, Knowledge, Practice, Obstetric Care Providers.