Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: a multi-center study
Abstract Introduction The third stage of labor is the shortest, most critical, and hazardous stage as it is linked with postpartum hemorrhage, the leading cause of maternal mortality and morbidity. Postpartum hemorrhage can be prevented by 60% with active management of the third stage of labor (AMTS...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-09-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-06009-2 |
| _version_ | 1797451095498293248 |
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| author | Birhane Fissahaye Merga Dheresa Nega Assefa Dejene Tesfaye Addis Eyeberu Bikila Balis Adera Debella Berhe Gebremichael Tamirat Getachew |
| author_facet | Birhane Fissahaye Merga Dheresa Nega Assefa Dejene Tesfaye Addis Eyeberu Bikila Balis Adera Debella Berhe Gebremichael Tamirat Getachew |
| author_sort | Birhane Fissahaye |
| collection | DOAJ |
| description | Abstract Introduction The third stage of labor is the shortest, most critical, and hazardous stage as it is linked with postpartum hemorrhage, the leading cause of maternal mortality and morbidity. Postpartum hemorrhage can be prevented by 60% with active management of the third stage of labor (AMTSL). Few studies have been conducted in different parts of Ethiopia showing rates of AMTSL ranging from 16.7% to 43.3%. Limited information, however, exists about its practice in our study area. Thus, we aimed to assess the practice of AMTSL and associated factors among maternity care providers in public health facilities in eastern Ethiopia. Methods An institution-based cross-sectional study design was used among 270 maternity care providers in public health facilities in eastern Ethiopia. They were recruited using cluster sampling techniques in their health facilities from July 15—October 30/2021. Pretested self-administered questionnaires and an observational checklist were used to collect data. Descriptive, binary, and multivariable logistic regression analyses were performed. Adjusted odds ratios with 95% confidence intervals were used for statistically significant associations. Results Good practice of AMTSL occurred in 40.3% (95% CI: 34.5%—46.1%) of births. Being trained (aOR 3.02; 95% CI 1.60–5.70); presence of birth assistance (aOR 2.9; 95% CI 1.42–6.04); having the highest educational level (aOR 4.21; 95% CI 1.08–16.40); and having good knowledge (aOR 3.00; 95% CI 1.45–6.20) were factors statistically associated with maternity care providers’ good practice of AMTSL. Conclusion Active management of the third stage of labor was practiced with low rates in the study area. Therefore, we suggest that the stakeholders could enhance the presence of birth assistance during all births and provide education to attain higher educational levels and continuously update the maternity care providers’ level of knowledge through comprehensive and on-the-job training to increase the good practice of the third stage of labor. |
| first_indexed | 2024-03-09T14:49:56Z |
| format | Article |
| id | doaj.art-03c1e3ee7372417eaf124d4a240912c4 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-09T14:49:56Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-03c1e3ee7372417eaf124d4a240912c42023-11-26T14:31:39ZengBMCBMC Pregnancy and Childbirth1471-23932023-09-012311910.1186/s12884-023-06009-2Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: a multi-center studyBirhane Fissahaye0Merga Dheresa1Nega Assefa2Dejene Tesfaye3Addis Eyeberu4Bikila Balis5Adera Debella6Berhe Gebremichael7Tamirat Getachew8School of Nursing and Midwifery, College of Health Science and Comprehensive Specialized Hospital, Aksum UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Public Health, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversityAbstract Introduction The third stage of labor is the shortest, most critical, and hazardous stage as it is linked with postpartum hemorrhage, the leading cause of maternal mortality and morbidity. Postpartum hemorrhage can be prevented by 60% with active management of the third stage of labor (AMTSL). Few studies have been conducted in different parts of Ethiopia showing rates of AMTSL ranging from 16.7% to 43.3%. Limited information, however, exists about its practice in our study area. Thus, we aimed to assess the practice of AMTSL and associated factors among maternity care providers in public health facilities in eastern Ethiopia. Methods An institution-based cross-sectional study design was used among 270 maternity care providers in public health facilities in eastern Ethiopia. They were recruited using cluster sampling techniques in their health facilities from July 15—October 30/2021. Pretested self-administered questionnaires and an observational checklist were used to collect data. Descriptive, binary, and multivariable logistic regression analyses were performed. Adjusted odds ratios with 95% confidence intervals were used for statistically significant associations. Results Good practice of AMTSL occurred in 40.3% (95% CI: 34.5%—46.1%) of births. Being trained (aOR 3.02; 95% CI 1.60–5.70); presence of birth assistance (aOR 2.9; 95% CI 1.42–6.04); having the highest educational level (aOR 4.21; 95% CI 1.08–16.40); and having good knowledge (aOR 3.00; 95% CI 1.45–6.20) were factors statistically associated with maternity care providers’ good practice of AMTSL. Conclusion Active management of the third stage of labor was practiced with low rates in the study area. Therefore, we suggest that the stakeholders could enhance the presence of birth assistance during all births and provide education to attain higher educational levels and continuously update the maternity care providers’ level of knowledge through comprehensive and on-the-job training to increase the good practice of the third stage of labor.https://doi.org/10.1186/s12884-023-06009-2Active managementThird stage laborMaternity care providerEastern Ethiopia |
| spellingShingle | Birhane Fissahaye Merga Dheresa Nega Assefa Dejene Tesfaye Addis Eyeberu Bikila Balis Adera Debella Berhe Gebremichael Tamirat Getachew Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: a multi-center study BMC Pregnancy and Childbirth Active management Third stage labor Maternity care provider Eastern Ethiopia |
| title | Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: a multi-center study |
| title_full | Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: a multi-center study |
| title_fullStr | Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: a multi-center study |
| title_full_unstemmed | Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: a multi-center study |
| title_short | Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: a multi-center study |
| title_sort | active management of the third stage of labor and associated factors among maternity care providers in public health facilities in eastern ethiopia a multi center study |
| topic | Active management Third stage labor Maternity care provider Eastern Ethiopia |
| url | https://doi.org/10.1186/s12884-023-06009-2 |
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