Practice and factors associated with active management of third stage of labor among obstetric care providers in Amhara region referral hospitals, North Ethiopia, 2018: A cross sectional study

Abstract

BackgroundActive management of third stage of labor is the most indispensable intervention to avert post-partum hemorrhage which is one of the typical causes of maternal morbidity and mortality. Therefore, the aim of the study was to assess practice and factors associated with active management of third stage of labor among obstetric care providers in referral hospitals.MethodsInstitution based cross-sectional study design was conducted from April 1–30, 2018. Simple random sampling technique was used to select a total of 356 obstetric care providers. Data were collected using pretested, structured and self-administered questionnaires. Data were entered to Epi data version 3.1 statistical software and exported to SPSS 23 for analysis. Bivariate and multivariate logistic regression analyses were performed to identify associated factors. P value <0.05 with 95% confidence level were used to declare statistical significance.ResultThis study revealed that practice of active management of third stage of labor was 61.2%. Age group of 20–30 years [AOR = 1.95 (95%CI;1.13–3.38)], Being male obstetric care provider [AOR = 1.74 (95%CI;1.03–2.94)], having work experience ≥2 years [AOR = 1.95(95%CI;1.13–3.38)], availability of oxytocin [AOR = 5.46 (95%CI; 2.41–12.3)], having exposure to manage third stage of labor [AOR = 2.91(95%CI; 1.55–5.48)], and having good knowledge [AOR = 2.67 (95%CI; 1.46–4.90)], were the factors associated with practice.ConclusionThis study showed that practice of active management of third stage of labor was high. Age group between 20–30 years, being a male obstetric care provider, having ≥2years work experience, availability of oxytocin, exposure to third stage management and having good knowledge were factors associated with practice. Therefore, all referral hospitals and concerned bodies need efforts to focus on providing training to increase health care provider’s knowledge so as to sustain good practice through appropriate interventions.

Factors that influence management of postpartum hemorrhage among midwives in a rural setting in Kenya

“…This study showed a statistical significance between experience in the labour ward and the management of PPH. This is in line with a study by Adane et al in northern Ethiopia which showed similar findings 12 .…”

Knowledge and skills on active management of third stage of labor for prevention of post-partum haemorrhage among health care providers in Lake Zone, Tanzania: a cross sectional study

“…HCPs in our study who were having degree in nursing and medicine had almost twofold higher odds of adequate knowledge in AMTSL compared to women. This is contrary to what was reported in a study of Adane et al, in which male health care providers were associated with good practice (AOR = 1.74, 95% CI 1.03-2.94) [1].…”

“…Author details 1 Department of Obstetrics and Gynecology, Bugando Medical Center, Mwanza, Tanzania. 2 Department of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma, Tanzania.…”

“…In 2015, maternal mortality rate has been estimated to be 216 per 100,000 live births globally [1][2][3]. Across regions estimate, the overall MMR in developing regions is 239 per 100,000 live births which is approximately 20 times higher than that in developed regions where the estimation is 12 per 100,000 live births [1].…”

A Nationwide Study of the “July Effect” Concerning Postpartum Hemorrhage and Its Risk Factors at Teaching Hospitals across the United States

“…Active management of the third stage of labor is critical in reducing PPH occurrence but is influenced by many factors, including standard guidelines and protocols, quick service accessibility, availability of resources (equipment and staff), and quality of care services [ 9 , 10 , 11 , 12 ].…”