Knowledge and Practice of Neonatal Resuscitation and its Associated Factors Among Midwifes Working at Selected Health Centers of Addis Ababa
No Thumbnail Available
Date
2024-06-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Resuscitation of newborn is a more difficult technique that requires a high level of skill and undergoes rapid changes just after delivery. The newborn goes through significant physiological changes in the first few minutes to hours after delivery as they switch from placental gas exchange in a liquid-filled intrauterine environment to spontaneous air breathing. It might be difficult to be knowledgeable about and perform resuscitation, especially in situations where medical professionals attend few deliveries and don't often rescue infants.
Objective: The aim of this study is to assess the knowledge and practice of neonatal resuscitation and its associated factors among midwifes working at selected health centers of Addis Ababa.
Methods: A cross-sectional facility based study design was carried out. The response rate of 94.6% was achieved using 212 study samples throughout the course of study period. Data were collected via a pretested, semi-structured and self-administered questionnaire. After being cleaned and coded, the data was taken to SPSS version 25 for data administration and further statistical analysis. Descriptive statistics, bi-variate and multivariate logistic regression analysis were conducted to assess midwives’ knowledge, practice and associated factors of newborn resuscitation. 95% confidence intervals and p-values of less than 0.05 were used to establish a correlation between the independent and outcome variables.
Result: In this study, 212 midwives were participated andthe good knowledge and practice on neonatal resuscitation were 30% and 45% respectively. The master's degree (AOR=13.4, 95%CI=2.27, 79.27), receiving neonatal resuscitation training (AOR=12.2, 95% CI=4.50 -33.11), and participant supportive supervision (AOR=16.6, 95% CI=6.29, 43.87)) were the determinant factors for knowledge on newborn resuscitation. The key factors influencing neonatal resuscitation practice were serving more than 20 neonates per month (AOR=0.21, 95% CI=0.08-0.52) and having professional experience of at least 8 years (AOR=0.34 , 95%CI=0.13-0.91).
Conclusion: The knowledge and practice of the study participants on neonatal resuscitation were low. The determinant factors for knowledge on newborn resuscitation were educational level, training and supportive supervision. The key factors influencing neonatal resuscitation practice were serving more than 20 neonates per month and having professional experience of at least 8 years.
Key word: -knowledge, practice, resuscitation, health provider
Description
Keywords
Knowledge and Practice of Neonatal Resuscitation