Evidence-Based Intrapartum Practice and Associated Factors Among Obstetric Care Providers Working in Public Hospitals of South Wollo Zone North-Central Ethiopia: An Institutional-Based Cross-Sectional Study

Abrham Debeb Sendekie, Mengistu Abate Belay, Sindu Ayalew Yimer, Alemu Degu Ayele, Abrham Debeb Sendekie, Mengistu Abate Belay, Sindu Ayalew Yimer, Alemu Degu Ayele

Abstract

Background: Even though recent progress, Ethiopia continues to be one of the most significant contributors to the worldwide burden of maternal mortality. Evidence-based intrapartum practices have significant value to improve the health outcome of the mother and the neonate. However, in Ethiopia, it is not exercised according to the standard. Assessing the proportion of evidence-based intrapartum practice and predictors is essential and vital to providing better-quality care to laboring mothers. Hence, this study was aimed to assess the magnitude of evidence-based intrapartum practice and predictors among obstetric care providers working in public hospitals in South Wollo zone, North-central Ethiopia.

Patient and methods: An institutional-based cross-sectional study was employed among 398 obstetric care providers from February 1 to April 30, 2021. Study participants were selected using a simple random sampling technique. Both a structured questionnaire and an observational checklist were used to collect the data. Bivariate and multivariable logistic regression was done to determine predictors associated with evidence-based intrapartum practice and P-value <0.05 at 95% CI was declared as statistically significant.

Results: The overall magnitude of evidence-based intrapartum care was 54.7% [95% CI (49.6-59.7%)]. Knowledge [AOR = 2.1; 95% CI (1.30-3.38)], computer access [AOR = 2.04; 95% CI (1.27-3.27)], work experience [AOR= 2.13; 95% CI (1.21-3.73)] and training [AOR = 1.81; 95% CI (1.12-2.93)] were found to be statistically significant with evidence-based intrapartum practice.

Conclusion: We found that only half of the obstetric care providers applied evidence-based intrapartum practice. Increasing knowledge of intrapartum care, providing continuous training, making the working environment safe to handle experienced providers, and easily access computers in the workplace will be needed to maximize the practice of evidence-based intrapartum care and scale up the quality of care.

Keywords: evidence-based; intrapartum practice; knowledge and obstetric care providers.

Conflict of interest statement

The authors declare that there are no competing interests.

© 2022 Debeb Sendekie et al.

Figures

Figure 1
Figure 1
Distribution of study participants by their mostly searched online activities in South Wollo Zone Public Hospitals, Ethiopia, 2021.
Figure 2
Figure 2
Activities of obstetrics care provider motivated to seek scientific health information in South Wollo Zone Public Hospitals, Ethiopia, 2021.
Figure 3
Figure 3
Purpose of computers for obstetrics health care providers in South Wollo Zone Public Hospitals, Ethiopia, 2021.

References

    1. Practice C, Close T, Model C. Fostering evidence-based practice to improve nurse and cost outcomes in a community health setting. Nurs Administr Quart. 2011;35:21–33.
    1. Birkhead ACS, Callister LC, Fletcher N, Holt A, Curtis S. Teaching physiologic birth in maternal – newborn courses in undergraduate nursing programs: current challenges. J Perinat Educ. 2012;21:169–177.
    1. Gülmezoglu A, Langer G, Piaggio P, Lumbiganon J, Villar J, Grimshaw J. Cluster randomised trial of an active, multifaceted educational intervention based on the WHO Reproductive Health Library to improve obstetric practices. BJOG. 2007;114:16–23. doi:10.1111/j.1471-0528.2006.01091.x
    1. Forrester King J. A short history of evidence-based obstetric care. Best Pract Res Clin Obstet Gynaecol. 2005;19:3–14. doi:10.1016/j.bpobgyn.2004.09.003
    1. Iyengar K, Jain M, Thomas S, et al. Adherence to evidence based care practices for childbirth before and after a quality improvement intervention in health facilities of Rajasthan, India. BMC Pregnancy Childbirth. 2014;14:1–12.
    1. Iravani M, Janghorbani M, Zarean E, Bahrami M. Barriers to implementing evidence-based intrapartum care: a descriptive exploratory qualitative study. Iran Red Crescent Med J. 2016;18:1–7.
    1. Bhutta A, Cabral S, Chan C, Keenan WJ. International Journal of Gynecology and Obstetrics Reducing maternal, newborn, and infant mortality globally: an integrated action agenda. Int J Gynecol Obstet. 2012;119:13–17.
    1. Oza S, Cousens SN, Lawn JE. Estimation of daily risk of neonatal death, including the day of birth, in 186 countries in 2013: a vital-registration and modelling-based study. Lancet Glob Heal. 2013;2:e635–e644. doi:10.1016/S2214-109X(14)70309-2
    1. Hogan MC, Foreman KJ, Naghavi M, et al. Maternal mortality for 181 countries, 1980 – 2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet. 2008;375:1609–1623. doi:10.1016/S0140-6736(10)60518-1
    1. World Health Organization. Trends in maternal mortality: 1990 to 2015; 2015.
    1. Willis L, Montoro-gurich C, Bloom S, Fortney J, Robinson J. A framework for quality of care in Southampton, England; 2000.
    1. Survey H, Indicators K. No title; 2016.
    1. Study BC. Primary health care: open access evidence based intrapartum care and factors among obstetric care. Prim Health Care. 2017;7:1079–2167.
    1. Asrese K. Quality of intrapartum care at health centers in Jabi Tehinan district, North West Ethiopia: clients’ perspective. BMC Health Serv Res. 2020;20:1–12.
    1. Goal SD, Strategy G. WHO recommendations Intrapartum care for a positive childbirth experience Transforming care of women and babies for improved health and well-being Executive summary; 2016:1–8.
    1. Dewana Z. Quality of delivery service at public health facilities in Arba Minch District, Gamo Gofa Zone, Southern Ethiopia. J Gynecol Obstet. 2017;5:31. doi:10.11648/j.jgo.20170502.12
    1. Kigenyi O, Tefera GB, Nabiwemba E, Orach CG. Quality of intrapartum care at Mulago national referral hospital, Uganda: clients’ perspective. BMC Pregnancy Childbirth. 2013;13:2–9.
    1. Fisseha G, Berhane Y, Worku A. Quality of intrapartum and newborn care in Tigray, Northern Ethiopia. BMC Pregnancy Childbirth. 2019;19:4–11.
    1. Kvist LJ. Care in labor: a Swedish survey using the bologna score. Birth. 2008;35:321–328.
    1. Aghlmand S, Abari F, Lameei A, et al. BMC pregnancy and childbirth developing evidence-based maternity care in Iran: a quality improvement study. J BMC Pregnancy Childbirth. 2008:1–8. doi:10.1186/1471-2393-8-20
    1. Kabakian-khasholian T, Bashour H, El‐Nemer A, et al. Implementation of a labour companionship model in three public hospitals in Arab middle-income countries. Acta Paediatrica. 2020;107:35–43.
    1. Daemers DO, van Limbeek E, Wijnen HA. Factors influencing the clinical decision- making of midwives: a qualitative study. BMC Pregnancy Childbirth. 2017:1–12. doi:10.1186/s12884-017-1511-5
    1. Tita ATN, Selwyn BJ, Waller DK, Kapadia AS, Dongmo S. Factors associated with the awareness and practice of evidence-based obstetric care in an African setting. 1060–1066. BJOG. 2006. doi:10.1111/j.1471-0528.2006.01042.x
    1. Thorsteinsson HS. Icelandic nurses’ beliefs, skills, and resources associated with evidence-based practice and related factors: a national survey. Worldviews Evid‐Based Nurs. 2013;10:116–126.
    1. Itote EW, Fleming LC, Kevin Mallinson R, Gaffney KF, Jacobsen KH. Knowledge of intrapartum care among obstetric care providers in rural Kenya. Int Health. 2019;11:258–264. doi:10.1093/inthealth/ihy078
    1. Brown CE, Ecoff L, Kim SC, et al. Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. J Clin Nurs. 2010;19:1944–1951. doi:10.1111/j.1365-2702.2009.03184.x
    1. Boström AM, Rudman A, Ehrenberg A, Gustavsson JP, Wallin L. Factors associated with evidence-based practice among registered nurses in Sweden: a national cross-sectional study. BMC Health Serv Res. 2013;13. doi:10.1186/1472-6963-13-165

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