Journal de la grossesse et de la santé infantile

Abstrait

Active Management of Third Stage of Labour: Practice and Associated Factors among Obstetric Care Providers at Health Facilities in Kembata- Tembaro Zone, Southern Ethiopia 2018

Aregahegn Wudneh, Merga Dheresa, Melake Demena and Abebe Alemu

Introduction: Every year, more than half a million women die with complications related to child birth and pregnancy. Worldwide, bleeding after child birth is the leading direct cause of approximately one third of maternal death. Practicing good active management of third stage of labour prevents bleeding after child birth. But, it was estimated that annually 1.4 million deliveries didn’t get good active management of third stage of labour. Thus, this study was aimed to assess obstetric care providers practice and associated factors in Kembata-Tembaro Zone, Southern Ethiopia 2018.
Methods: Institutional-based cross-sectional study design was used. One hundred seventy one study participants were enrolled using simple random sampling technique. To collect data, questionnaires and checklists were used. Descriptive statistic was used to describe study participants. Multivariate logistic regression analysis was carried out to identify associated factors with practice of active management of third stage of labour.
Results: Magnitude of good practice of active management of third stage among respondents was 29.8% only. The factors that significantly associated were, knowledge respondents on active management of third stage of labour (AOR=4.88, 95%CI: 2.10-11.33), pre-service or in-service training (AOR=4.760, 95% CI: 1.89-11.96) and service year (AOR=2.51, 95%CI: 1.07-5.92).|
Conclusion: The magnitude of good practice of active management of third stage of labour among respondents’ was low. Thus, improving practice of active management of third stage of labour among obstetric care providers needs great attention by all stakeholders. Proving in-service training to obstetric care providers may improve practice towards active management of third stage labour.