Obstetric Care Providers Knowledge and Practice towards Active Management of Third Stage of Labourat Hawassa City, SNNPRS, Ethiopia

Zelalem Tenaw,Zemenu Yohannes,Mesfine Abebe

doi:10.21767/2049-5471.100084

Abstract

Background: Active management of third stage of labour properly is frontline to prevent post-partum haemorrhage related maternal morbidity and mortality. 99% of the maternal deaths take places in developing countries. The majority causes of death occur within 4 h after delivery because of haemorrhage. Clinical trial suggests that Routine practice of active management third stage of labour dramatically reduce haemorrhage by 60%. Active management third stage of labour can help to save thousands of women life with low cost. The aims of this study to assess Obstetric care providers Knowledge and Practices o n active management of third stage of labour at Hawassa city, South Ethiopia 2015. Methods: An institutional based cross sectional study was conducted to health institution in Hawassa city, from April to May 2015. By using pretested structured questionnaires for knowledge assessment and observation checklists for practice. Simple random sampling technique was used to select 76 obstetric care providers. Data were entered using Epi Info version 3.5.1 was coded, edited, exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of knowledge and practice of obstetric care providers. Results: 24 ( 33.3%) of obstetric care providers had knowledgeable about active management third stage of labour and 16.7 % obstetric care providers was applied correctly active management of third stage of labour. Obstetric care providers who took pre/in-service training were 7.4 times was done correctly active management of third stage of labour than didn’t take training [AOR=7.4, 95% CI, (1.07-51)]. Conclusion and recommendation: In this study knowledge and practice of obstetric care providers towards active management of third stage of labour is still low. The governmental and non-governmental organization which works in health related activities plan to give trainings on active management of third stage of labour.

Highlights

Every year worldwide and in Ethiopia 515,000 and 20,000 women, die respectively due to complications of pregnancy and childbirth. 99% of the maternal deaths take place in developing countries
The majority causes of death occur within 4 h after delivery because of haemorrhage[1,2,3]
Clinical trial suggests that Routine practice of active management third stage of labour dramatically reduce haemorrhage by 60%

Summary

Introduction

Every year worldwide and in Ethiopia 515,000 and 20,000 women, die respectively due to complications of pregnancy and childbirth. 99% of the maternal deaths take place in developing countries. Active management involves the clinician intervening in the process through three interrelated but independent processes, Prophylactic administration of an uterotonic agent, Controlled cord traction to aid the delivery of the placenta and uterine massage[7]. These three interventions hasten placental delivery by increasing uterine contractions, decreasing blood loss and preventing postpartum haemorrhage by averting uterine agony. The aims of this study to assess Obstetric care providers Knowledge and Practices o n active management of third stage of labour at Hawassa city, South Ethiopia 2015

Methods

Findings

Discussion

Conclusion