International Journal of Nursing & Care
ISSN: 2573-8879 | DOI: 10.64030/2573-8879
Senait Girma, Abera Gezume Ganta, Desalegn Dawit Assele and Ermias Wabeto
Background Evidence-based intrapartum care significantly reduces maternal and neonatal mortality, but in low- and middle-income countries, providers still apply harmful practices. There is limited information on the utilization of evidence-based intrapartum care practice among obstetric care providers in the study area. This study aimed to assess the magnitude of evidence-based intrapartum care practice and its associated factors among obstetric care providers working in hospitals in Wolaita Zone in 2022.
A facility-based cross-sectional study was conducted from August 1st to 30th, 2022, among 332 obstetric care providers in the hospitals of the Wolaita Zone. The data were collected using a structured self-administered questionnaire and a pre-tested observational checklist supplemented with non-participatory observation and record review. Data were entered into EpiData version 4.6.0.2 and then exported to SPSS Version 25 for analysis. Binary logistic regression analyses were conducted to identify factors associated with evidence-based intrapartum care among obstetric care providers. An adjusted odds ratio (AOR) with a 95% confidence interval was reported. Variables having a p-value <0.05 were considered statistically significant. The goodness of fit was checked by the Hosmer-Lemeshow test.
Results The overall magnitude of evidence-based intrapartum practice was 52.5% [95% CI (47.1%-57.9%)]. Work experience >5 years [AOR:1.74;95%CI (1.04,2.91)], knowledge [AOR:1.77; 95% CI (1.06,2.95)], in-service training [AOR = 1.83; 95% CI (1.05,3.17)], access to EBP guidelines [AOR:1.70; 95% CI (1.01,2.85)], and managerial support [AOR:3.1; 95% CI (1.11,8.67)] were determinates of evidence-based intrapartum care.
Conclusion The utilization of EBP among obstetric care providers working in hospitals in the Wolaita Zone was low. Work experience, knowledge, in-service training, access to EBP guidelines, and managerial support were factors determining the practice of evidence-based intrapartum care. Therefore, obstetric care providers should be compliant with the recommended.