Magnitude of Partograph Use and Associated Factors among Obstetric Care Givers in Public Health Institution in Sidama Zone, Southern Ethiopia, 2017

Background. A partograph is a graphic representation of labor which is used by health professionals for monitoring labor progress and fetal and maternal wellbeing. However, its utilization and associated factors have not been studied yet in Hadiya Zone, Southern Ethiopia. Hence, the aim of this study was to determine partograph utilization and associated factors among obstetric care providers at public health facilities in Hadiya Zone, Southern Ethiopia. Methods. A facility-based cross-sectional study was conducted on 436 health professionals. The study was conducted from March 04 to April 07, 2019. A simple random sampling method was carried out to select 19 health facilities and study participants from selected facilities. Data was collected using a pretested structured questionnaire, entered into EPI-data version 3.1 and exported to Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics and binary and multivariable logistic regression analyses were done. P values less than 0.05 were used to declare significant association between dependent and independent variables. Results. The overall magnitude of partograph utilization was found to be 54.4%, and finding from data abstraction from a document revealed that out of 18 parameters, only 10 parameters were recorded completely. Type of health facility (hospital as compared to HC) (AOR=2.96; CI=1.71, 5.12), received on-the-job training on partograph (AOR=7.06; CI=4.3, 11.37), knowledgeable about partograph (AOR=2.12; CI=1.3, 3.9), and favorable attitude toward partograph use (AOR=1.8; CI=1.12−2.97) were significantly associated with partograph use. Conclusion. Overall partograph utilization was low, and incomplete recording of required parameters on partograph was observed in this study. Participants who received on-the-job training on partograph, who are working in a hospital, who are knowledgeable about partograph, and who have favorable attitude toward partograph use were factors affecting partograph use positively.

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Knowledge and utilization of partograph among obstetric care givers in public health institutions of Addis Ababa, Ethiopia

BMC Pregnancy and Childbirth ◽

10.1186/1471-2393-13-17 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 35

Author(s):

Engida Yisma ◽

Berhanu Dessalegn ◽

Ayalew Astatkie ◽

Nebreed Fesseha

Keyword(s):

Public Health ◽

Addis Ababa ◽

Obstetric Care ◽

Care Givers ◽

Public Health Institutions ◽

Health Institutions ◽

Obstetric Care Givers

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Labor Pain Mangement Practice and Associated Factors Among Obstetric Care Workers in Public Health Facilities of West Guji Zone, Southern Ethiopia, 2020

10.21203/rs.3.rs-936593/v1 ◽

2021 ◽

Author(s):

Girma Tufa Melesse ◽

Zelalem Jabessa Wayessa ◽

Amana Jilo Bonkiye

Keyword(s):

Public Health ◽

Pain Management ◽

Associated Factors ◽

Management Practice ◽

Obstetric Care ◽

Labor Pain ◽

Southern Ethiopia ◽

Pharmacological Interventions ◽

Obstetric Analgesia ◽

Care Workers

Abstract Introduction: Childbirth is a painful experience for almost all women and most women require pain relief. Labor pain management strategies include non-pharmacological interventions and pharmacological interventions. Globally, approximately 140 million births occur every year and most of them are vaginal births among pregnant women with no risk factors identified for complications during onset of labor.More than a third of maternal deaths from pregnancy-related conditions are attributed to complications that arise during childbirth or the period immediately following childbirth, usually due to bleeding, obstructed laboror sepsis.The aim of this study was to assess labor pain management practice and associated factors among obstetric care givers in public health facilities of West Guji, Southern Ethiopia 2020.Methods: Institutional based cross-sectional study was conducted. Simple random sampling technique was employed to select 280 study participants. The data was collected by using self-administered questionnaire. Descriptive statistics, binary and multiple logistic regressions were used. Adjusted odds ratios (AOR) with 95% CI was estimated to assess the strength of associations and statistical significance was declared at a p-value < 0.05. Result: The magnitude of labor pain management practice among obstetric care workers at the study area was 43.3%. Factors that associated to labor pain management practice which were found to be statistically significant by multivariable analysis model were: Being diploma holder (AOR, 0.3; 95% CI: 0.2, 0.6), knowledge of obstetric analgesia (AOR, 9.4; 95% CI:1.8, 9.9) andthought of pharmacologic obstetric analgesia has effect on the labor (AOR, 2.9; 95% CI: 1.4, 6.2)Conclusion: Though the magnitude of labor pain management practice was better than other studies, stillit needs working to increase it. Being diploma holder, knowledge of obstetric analgesia and thought of pharmacologic obstetric analgesia has effect on the labor were the factors that responsible for labor pain management practice.

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