Abstract
BackgroundGlobally, there was an estimated number of 287,000 maternal deaths in 2010. Eighty five percent (245,000) of these deaths occurred in Sub-Saharan Africa and Southern Asia. Among the causes of these deaths were obstructed and prolonged labour which could be prevented by cost effective and affordable health interventions like the use of the partograph. The Use of the partograph is a well-known best practice for quality monitoring of labour and subsequent prevention of obstructed and prolonged labour. However, a number of cases of obstructed labour do happen in health facilities due to poor quality of intrapartum care.MethodsA cross-sectional quantitative study assessed knowledge and utilization of partograph among obstetric care givers in public health institutions of Addis Ababa, Ethiopia using a structured interviewer administered questionnaire. The collected data was analyzed using SPSS version 16.0. Logistic regression analysis was used to identify factors associated with knowledge and use of partograph among obstetric care givers.ResultsKnowledge about the partograph was fair: 189 (96.6%) of all the respondents correctly mentioned at least one component of the partograph, 104 (53.3%) correctly explained the function of alert line and 161 (82.6%) correctly explained the function of action line. The study showed that 112 (57.3%) of the obstetric care givers at public health institutions reportedly utilized partograph to monitor mothers in labour. The utilization of the partograph was significantly higher among obstetric care givers working in health centres (67.9%) compared to those working in hospitals (34.4%) [Adjusted OR = 3.63(95%CI: 1.81, 7.28)].ConclusionsA significant percentage of obstetric care givers had fair knowledge of the partograph and why it is necessary to use it in the management of labour and over half of obstetric care givers reported use of the partograph to monitor mothers in labour. Pre-service and on-job training of obstetric care givers on the use of the partograph should be given emphasis. Mandatory health facility policy is also recommended to ensure safety of women in labour in public health facilities in Addis Ababa, Ethiopia.
Highlights
There was an estimated number of 287,000 maternal deaths in 2010
Bivariate and multivariate logistic regression analysis of factors associated with partograph utilization Obstetric care givers working in health centres had significantly higher odds of utilizing the partograph compared to those working in hospitals [Adjusted odds ratio (OR) = 3.63 (95% CI: (1.81, 7.28)] while more of those obstetric care givers who had not been previously trained on the partograph had lesser odds of utilizing the partograph compared to those who had been previously trained [Adjusted OR = 0.39]
Discussions This study focused on obstetric care givers in public health institutions of Addis Ababa, Ethiopia, at delivery units
Summary
There was an estimated number of 287,000 maternal deaths in 2010. Eighty five percent (245,000) of these deaths occurred in Sub-Saharan Africa and Southern Asia. Among the causes of these deaths were obstructed and prolonged labour which could be prevented by cost effective and affordable health interventions like the use of the partograph. Of the estimated total number of 287,000 maternal deaths worldwide, 85% (245,000) occurred in SubSaharan Africa and Southern Asia [1]. The majority of maternal deaths and complications attributable to obstructed and prolonged labour could be prevented by cost-effective and affordable health interventions like the use of partograph [4,5]. It is an important tool for managing labor This is through enabling midwives, nurses and doctors to record their examination findings on a standardized form, which generates a pictorial overview of labour progress, and maternal and foetal condition, which allows for early identification and diagnosis of pathological labour. Its use is critical in preventing maternal and perinatal morbidity and mortality and has applicability in developed and developing world settings [2]
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