Partograph utilization and associated factors among obstetric care providers in North Shoa Zone, Central Ethiopia: a cross sectional study

Background: Globally, prolonged and obstructed labor contributed to 8% of maternal deaths which can be reduced by proper utilization of partograph during labor. Methods: An Institution based cross-sectional study was conducted in June, 2013 on 403 obstetric care providers. A pre-tested and structure...

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Bibliographic Details
Published in:African health sciences 2015-01, Vol.15 (2), p.552-559
Main Authors: Wakgari, Negash, Amano, Abdella, Berta, Marta, Tessema, Gizachew Assefa
Format: Article
Language:English
Subjects:
Adult
Childbirth & labor
Cross-Sectional Studies
Decision Support Techniques
Ethiopia
Female
Health and Medicine
Health Knowledge, Attitudes, Practice
Health Personnel
Humans
Labor, Obstetric
Logistic Models
Male
Medical equipment
Medical Screening
Midwifery - methods
obstetric care providers
Obstetric Labor Complications - diagnosis
Obstetric Labor Complications - prevention & control
Obstetrics - standards
partograph
Pregnancy
Surveys and Questionnaires
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Summary:Background: Globally, prolonged and obstructed labor contributed to 8% of maternal deaths which can be reduced by proper utilization of partograph during labor. Methods: An Institution based cross-sectional study was conducted in June, 2013 on 403 obstetric care providers. A pre-tested and structured questionnaire was used to collect data. Data was entered to EpiInfo version 3.5.1 statistical package and exported to SPSS version 20.0 for further analysis. Logistic regression analyses were used to see the association of different variables. Results: Out of 403 obstetric care providers, 40.2% utilized partograph during labor.Those who were midwives by profession were about 8 times more likely to have a consistent utilization of the partograph than general practitioners (AOR=8. 13, 95% CI: 2.67, 24.78). Similarly, getting on job training (AOR=2. 86, 95% CI: 1.69, 4.86), being knowledgeable on partograph (AOR=3. 79, 95% CI: 2.05, 7.03) and having favorable attitude towards partograph (AOR=2. 35, 95% CI: 1.14, 4.87) were positively associated with partograph utilization. Conclusion: Partograph utilization in labor monitoring was found to be low. Being a midwife by profession, on job training, knowledge and attitude of obstetric care providers were factors affecting partograph utilization. Providing on job training for providers would improve partograph utilization. Keywords: , ,
ISSN:1680-6905
1729-0503
1680-6905
DOI:10.4314/ahs.v15i2.30