Department of Midwifery, College of Medicine and Health Science, Wachemo University, Ethiopia.
Department of Midwifery College of Medicine and Health Science, Hawassa University, Ethiopia.
J Pregnancy. 2023 Jan 12;2023:6129903. doi: 10.1155/2023/6129903. eCollection 2023.
Nonpneumatic antishock garment is one of the newly emerging technology advances that reduce blood loss which is caused by obstetric hemorrhage and help women survive during delays to get definitive care. Over 80% of maternal mortality due to hemorrhagic shock may have been prevented if a nonpneumatic antishock garment had been utilized by an obstetric care provider. However, to the current knowledge, the utilization of nonpneumatic antishock garments is low and even no single study was conducted in the study area. Hence, we found that it is necessary to assess the magnitude and factors affecting the utilization of antishock garments among obstetric care providers in public hospitals of the Sidama region, Ethiopia, 2022.
A facility-based cross-sectional study design was employed among 403 obstetric care providers from June 15 to July 15, 2022. A two-stage sampling technique was applied; the data was collected by 5 trained BSc midwives using pretested and structured self-administered questionnaires. Data was entered into EpiData Manager version 4.6 and exported to Statistical Package for Social Sciences (SPSS) version 26 software. Bivariate and multivariable logistic regression analyses were used.
A total of 394 (97.8%) health professionals participated in this study. Overall, 30.71% (95% CI: 26.4%, 35%) of the obstetric care providers had utilized nonpneumatic antishock garments for the management of postpartum hemorrhage. Training on the antishock garment (AOR = 4.183, 95% CI: 2.167, 8.075, < 0.00), tertiary hospital (AOR = 0.355, 95% CI: 0.132, 0.952, < 0.04), having protocol in the facility (AOR = 2.758, 95% CI: 1.269, 5.996), availability of NASG in the facility (AOR = 4.6, 95% CI: 1.603, 13.24), good knowledge (AOR = 2.506, 95% CI: 1.26, 4.984), and positive attitude (AOR = 2.381, 95% CI: 1.189, 4.766) were significantly associated factors. . We found that less than one-third of the study participants have used the antishock garment in the management of postpartum hemorrhage in the current study. In addition to enhancing in-service and ongoing professional development training, it is preferable to insure the availability and accessibility of antishock in the facilities in order to close the knowledge and attitude gap among obstetric care providers.
非充气式抗休克裤是新兴技术进步之一，可减少因产科出血导致的失血，并帮助女性在获得明确治疗前得以存活。如果产科医护人员使用非充气式抗休克裤，超过 80% 的因出血性休克导致的孕产妇死亡本可避免。然而，就目前所知，非充气式抗休克裤的使用率很低，甚至在研究区域内没有进行过任何单项研究。因此，我们认为有必要评估 2022 年在埃塞俄比亚锡达马地区公立医院中，产科医护人员使用抗休克裤的程度和影响因素。
2022 年 6 月 15 日至 7 月 15 日，我们采用了基于机构的横断面研究设计，对来自 403 名产科医护人员进行了调查。采用两阶段抽样技术；数据由 5 名经过培训的 BSc 助产士使用经过预测试和结构化的自我管理问卷收集。数据输入 EpiData Manager 版本 4.6 并导出到统计软件包（SPSS）版本 26 软件。进行了双变量和多变量逻辑回归分析。
共有 394 名（97.8%）卫生专业人员参与了这项研究。总体而言，30.71%（95%置信区间：26.4%，35%）的产科医护人员曾使用非充气式抗休克裤治疗产后出血。接受过抗休克裤培训（AOR=4.183，95%置信区间：2.167，8.075， < 0.00）、在三级医院工作（AOR=0.355，95%置信区间：0.132，0.952， < 0.04）、机构内有使用方案（AOR=2.758，95%置信区间：1.269，5.996）、机构内有抗休克裤（AOR=4.6，95%置信区间：1.603，13.24）、知识良好（AOR=2.506，95%置信区间：1.26，4.984）和态度积极（AOR=2.381，95%置信区间：1.189，4.766）是显著相关的因素。在当前研究中，我们发现不到三分之一的研究参与者在产后出血管理中使用了抗休克裤。除了加强在职和持续的专业发展培训外，最好确保抗休克裤在设施中的可用性和可及性，以缩小产科医护人员在知识和态度方面的差距。
