School of Nursing, College of Medicine and Health Science, Arbaminch University, Arba Minch, Ethiopia.
Department of Midwifery, College of Medicine and Health Science, Arbaminch University, Arba Minch, Ethiopia.
PLoS One. 2021 Oct 28;16(10):e0258784. doi: 10.1371/journal.pone.0258784. eCollection 2021.
Delays in care have been recognized as a significant contributor to maternal mortality in low-resource settings. The non-pneumatic antishock garment is a low-cost first-aid device that can help women with obstetric haemorrhage survive these delays without long-term adverse effects. Extending professionals skills and the establishment of new technologies in basic healthcare facilities could harvest the enhancements in maternal outcomes necessary to meet the sustainable development goals. Thus, this study aims to assess utilization of non-pneumatic anti-shock garment to control complications of post-partum hemorrhage and associated factors among obstetric care providers in public health institutions of Southern Ethiopia, 2020.
A facility-based cross-sectional study was conducted among 412 obstetric health care providers from March 15 -June 30, 2020. A simple random sampling method was used to select the study participants. The data were collected through a pre-tested interviewer-administered questionnaire. A binary logistic regression model was used to identify determinants for the utilization of non-pneumatic antishock garment. STATA version 16 was used for data analysis. A P-value of < 0.05 was used to declare statistical significance.
Overall, 48.5% (95%CI: 43.73, 53.48%) of the obstetric care providers had utilized Non pneumatic antishock garment for management of complications from postpartum hemorrhage. Training on Non pneumatic antishock garment (AOR = 2.92; 95% CI: 1.74, 4.92), working at hospital (AOR = 1.81; 95% CI: 1.04, 3.16), good knowledge about NASG (AOR = 1.997; 95%CI: 1.16, 3.42) and disagreed and neutral attitude on Non pneumatic antishock garment (AOR = 0.41; 95%CI: 0.24, 0.68), and (AOR = 0.39; 95% CI: 0.21, 0.73), respectively were significantly associated with obstetric care provider's utilization of Non-pneumatic antishock garment.
In the current study, roughly half of the providers are using Non-pneumatic antishock garment for preventing complications from postpartum hemorrhage. Strategies and program initiatives should focus on strengthening in-service and continuous professional development training, thereby filling the knowledge and attitude gap among obstetric care providers. Health centers should be targeted in future programs for accessibility and utilization of non-pneumatic antishock garment.
在资源匮乏的环境中，人们已经认识到护理延误是导致产妇死亡的一个重要因素。非充气式抗休克服是一种低成本的急救设备，可以帮助患有产科出血的妇女在不产生长期不良影响的情况下度过这些延误。扩展专业技能并在基础医疗保健设施中建立新技术，可以提高母婴健康结局，从而实现可持续发展目标。因此，本研究旨在评估在埃塞俄比亚南部公共卫生机构的产科保健提供者中使用非充气式抗休克服来控制产后出血并发症的情况及其相关因素，时间为 2020 年 3 月 15 日至 6 月 30 日。
这是一项在 2020 年 3 月 15 日至 6 月 30 日期间进行的 412 名产科保健提供者的基于机构的横断面研究。采用简单随机抽样方法选择研究对象。通过预先测试的访谈式问卷收集数据。采用二元逻辑回归模型确定非充气式抗休克服使用的决定因素。采用 STATA 版本 16 进行数据分析。P 值<0.05 表示具有统计学意义。
总体而言，48.5%（95%CI：43.73，53.48%）的产科保健提供者使用非充气式抗休克服来管理产后出血并发症。接受过非充气式抗休克服培训（AOR=2.92；95%CI：1.74，4.92）、在医院工作（AOR=1.81；95%CI：1.04，3.16）、对非充气式抗休克服知识良好（AOR=1.997；95%CI：1.16，3.42）、对非充气式抗休克服持不同意和中立态度（AOR=0.41；95%CI：0.24，0.68）和（AOR=0.39；95%CI：0.21，0.73）的产科保健提供者，与非充气式抗休克服的使用显著相关。
在目前的研究中，大约一半的提供者正在使用非充气式抗休克服来预防产后出血并发症。战略和计划举措应侧重于加强在职和持续的专业发展培训，从而填补产科保健提供者在知识和态度方面的差距。未来的项目应针对卫生中心，以提高非充气式抗休克服的可及性和使用。
