Evidence Based Intrapartum Care and Factors among Obstetric CareProviders, Northwest Ethiopia: An Institution Based Cross-Sectional Study,2015

Abstract

Introduction: Evidence-based intrapartum care uses the best available research on safety and effectiveness of specific practices to guide labor and delivery practice with the least harm intervention. Therefore this study was aimed to assess proportion of evidence-based intrapartum care and associated factors among obstetric care providers in Northwest Ethiopia, 2015.Methods: An institution based cross-sectional study was conducted. The data was collected using self-administered questionnaire from April to May 2015. The study sites were five referral hospitals in Northwest Ethiopia. All obstetric care providers registered in each referral hospitals were participated. Results:In adequate evidence is available towards intrapartum care, where the proportions of obstetric care providers practicing evidences during intrapartum phase were 38.3%. While using health information seldom for teaching (AOR=3.50, 95% CI=1.30, 9.40), providing in-service training for obstetric health care providers (AOR=4.52, 95% CI=1.61, 12.71), adequate knowledge (AOR=5.30, 95% CI=2.01, 13.90) and favorable attitude (AOR=3.34, 95% CI=1.30, 8.60). Conclusion:Obstetric care providers in Northwest Ethiopia were giving intrapartum care not guided by best evidence available. Further investigation is needed to stipulate on current Intrapartum care among obstetric care providers in northwest Ethiopia.

Observation of non-recommended (harmful) intrapartum practices among obstetric care providers in public hospitals in southern Ethiopia, 2023

“…A single population proportions formula is used to determine the sample size needed for this investigation. A comparable study conducted at Amhara regional referral hospitals estimated that 61.8% of obstetricians used evidence-based intrapartum practices [ 10 ]. Alternatively, this study indirectly suggests that around 38.2% of healthcare professionals did not adhere to evidence-based practices and instead implemented non-recommended approaches, margin of error 5%, and confidence level 95%.…”

“…The tool contains four parts, including socio-demographic factors, individual and organizational factors, knowledge, and attitude-related questions. In addition, an observational checklist containing 21 items was adapted from “WHO recommendations on intra-partum care for a positive childbirth experience” to assess the practice [ 10 ]. Data collection was undertaken by 10 BSc midwife data collectors who were familiar with the study area.…”

“…Obstetricians who achieved a score higher than or equal to the mean on intrapartum care knowledge questions [ 10 ].…”

“…Positive attitude was assigned for those scored by participants who respond above the mean of the attitude assessment questions and if below the mean they were categorized as having negative attitude [ 10 ].…”

“…Globally, only 74% of developing nations adhered to EBP. Additionally, a study conducted in Ethiopia revealed that only 38.2% of obstetric care professionals used evidence-based intrapartum practice [ 10 ].…”