Knowledge ,Attitude, and Factors Affecting Practice of Partograph by Professional Birth Attendants

Luwam Woldemichael, Misgana Kidane, Ghidey Ghebreyohans

Abstract


partograph to document the assessment of maternal and fetal condition that enables appropriate decision making it is not being used at OINRMH. As a Conclusion; the knowledge and skills of partograph and its routine use by professional birth attendants is recommended by WHO and the International Confederation of Midwives while caring for a mother during labor, which is lacking at OINRMH. Thus the research team recommend, continuous in service training, up-to-date reading materials and supportive supervision should be in place.

Since most life-threatening complications occurring during labor and delivery, it cannot be predicted or prevented. Therefore interventions to address the global burden of maternal and neonatal death and disability should focus on quality of care during intra-partum period. The Partograph is an essential tool for decision-making during labor and is proved to prevent prolonged labor. Thus this study is aimed to assess the level of knowledge attitude and practice and major factors affecting the use of partograph by the professional birth attendants (PBAs) in Orotta Integrated National Referral Maternity Hospital (OINRMH). The quality of midwifery care provided in this hospital is of paramount importance because it is core teaching and maternity care provision center, that shapes and equips future medical professionals. A health facility based cross sectional study was conducted from July 7 to September 9, 2015 among all professional birth attendants (PBAs) who were actively working in the waiting (labor) and delivery wards. Data was collected using a self-developed structured questionnaires with open and closed ended questions covering the thematic areas of the study. The collected data were analyzed using SPSS version 20. Chi square (c2) test was applied to assess if there was any significant association among the variables under study. The Results shows that on the average about (65%)of the study participants had moderate knowledge about partograph. Nevertheless the knowledge on specific important variables is found to be low. Those who are in the age groups of 20-27 and single had better knowledge of partograph. Despite their positive attitude toward the advantage of using.


Keywords


Partograph; Professional birth attendants Orrota integrated national referral maternity hospital.

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References


. United Nations Population Fund UNFPA.The state of world s midwifery. Delivering health ,saving lives. /http://www.unfpa.org/sowmy/report/home. html/S. 2011.

. WHO . Care In Normal Birth: A Practical Guide Report Of A Technical Working Group. 1996 WHO Geneva.

. EPHS. Eritrea Demographic and Health Survey. 2010. National Statistics Office and Macro International Inc.

. MoHE. Ministry of Health Annual activity report 2014. Eritrea, Asmara.

. M., Fahdhy, V., Chongsuvivatwong. Evaluation of World Health Organization partograph implementation by midwives for maternity home birth in Medan, Indonesia. Midwifery, 21, 301310, 2005.

. World Health Organization. Making pregnancy safer: the critical role of the skilled attendant A joint statement by WHO, ICM and FIGO. 2004. World Health Organization Geneva.

WHO. Preventing Prolonged Labor: a Practical guide The Partograph Part II: Users Manual.2010 WHO Geneva

. Lancet Series on Midwifery. Midwifery A vital path to quality maternal and new born care: The story of the Lancet Series on Midwifery. Midwifery, 30,11051106, 2014.

. U., Waldenstrom. Challenges and Issues for Midwifery. Australian College of'Midwives 10th Biennial National Conference. April 16-18 1997 at the Grand Hyatt Hotel, Melbourne.

. WHO. Promoting Effective Perinatal Care:Essential Antenatal, Perinatal and Postpartum Care, Training Modules. 2000 WHO Europe Region Copenhagen . 2002. EUR/02/5035043

. AO., Fawole, Adekanle DA., & Hunyinbo KI. Utilization of the partograph in primary health care facilities in south western Nigeria. Niger J ClinPract.Vol 13(2), pp 200-4, 2010.

. T., Lavender, A., Hart A., & R ., Smyth, (2008). Effect of Partogram use on outcomes for women in spontaneous labor at term. Cochrane Database of Systematic Reviews, 2008. Issue 4. Art.No.: CD005461.doi: 10.1002/14651858. CD005461.pub2.

. Lancet Series on Midwifery. Lesley Page Commentary on: The Lancet Series on Midwifery Midwifery and midwives: Lives saved and better lives built. Midwifery 30(2014)11071108, 2014b.

. G., Ghebreyohans. Midwifery Care Experiences of Mothers during Labor and Delivery at Orota Maternity National Referral Hospital in Asmara, Eritrea. International Journal of Sciences: Basic and Applied Research (IJSBAR), Volume 22, No 1, pp 96-110, 2015.

Fantu, et al. Assessment of knowledge and utilization of the partograph among health professionals in Amhara region. Ethiopia, Science Journal of Clinical Medicine , 2(2) : 26-4, 2013.

. OT., Oladapo, OJ., Daniel and AO., Olatunji. Knowledge and use of the partograph amonge health care personnel at the peripheral maternity centers in Nigeria. J. Obstet. Gynaecol., 26(6): 538-541, 2006.

. Y., Engida et al. Knowledge and utilization of partographamong obstetric care givers in public health institutions ofAddis Ababa, Ethiopia. BMC Pregnancy and Childbirth, 13:17, 2013.

. M., Opiah, A. Ofi., E., Essien., & E Monjok. Knowledge and utilization of the partograph among midwives in the Niger Delta Region of Nigeria. Afr J Reprod Health.vol.16(1):125-32, 2012.

. K., Margaret. Use and documentation of partograph in urban hospitals in Lilongwe- Malawi health workers perspective. 2012. University of Oslo, Faculty of Medicine; Institute of Health and Society.

. H., Scholefield. Safety in obstetric critical care. Best Practice & Research Clinical Obstetrics and Gynaecology, Vol. 22, No. 5, pp. 965982, 2008.

. International Confederation Of Midwives (ICM). Essential competencies for basic midwifery practice. 2010 Revised 2013 www.internationalmidwives.org International Inc.

. L., Kvist, N., Damiati, J., Rosenqvist, & A., Sandin-Boj o. Measuring the quality of documented care given by Swedish midwives during birth. Midwifery .vol27, pp e188e194.

. AK., Sandin-Bojo, M., Hashimoto, K., Kanal ., & Y., Sugiura . Intra-partum care at a tertiary hospital in Cambodia: A survey using the Bologna Score. Midwifery,doi:10.1016/j.midw.2011.10.014, 2011.

. R. Khresheh, C., Homer., & L., Barclay. A comparison of labor and birth outcomes in Jordan with WHO guidelines: a descriptive study using a new birth record. Midwifery.25, e11e18, 2009.

. P., Ith P, A., Dawson, C., Homer, A., Whelan. Practice of Skilled birth attendants during labor borth and the imediate postpartum period in Cambodia. Midwifery, 29, 300307, 2013.


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