Dinagde Dagne Deresa, Marami Shambel Negesa, Feyisa Gizu Tola, Afework Hana Tadesse, Dabe Nikodimos Eshetu, Wada Habtamu Wana, Gultie Teklemariam
Department of Midwifery, College of Health Sciences, Mattu University, Mettu, Ethiopia.
Department of Midwifery, College of Health Sciences, Mizan-Tepi University, Mizan, Ethiopia.
PLOS Glob Public Health. 2024 Jul 11;4(7):e0003375. doi: 10.1371/journal.pgph.0003375. eCollection 2024.
The majority of developing countries do not follow the WHO's emphasis on replacing harmful and ineffective traditional practices with evidence-based clinical treatment. In these countries, harmful or ineffective practices are routinely used as part of routine care during labor and delivery, while beneficial procedures are not used for the majority of laboring mothers. However, it is critical to use evidence-based practices while giving therapy since they improve care quality, save costs, increase patient and family happiness, and promote professional progress. To assess the magnitude of non-recommended (harmful) intrapartum practices among obstetric care providers in public hospitals in southern Ethiopia, 2023. An institution-based cross-sectional study was conducted from January 30, 2023, to February 30, 2023, in public hospitals in the Gamo and Gofa zones. An observational checklist and a self-administered questionnaire were used to gather data. Using odds ratio of 95% C, bivariate and multivariable logistic regression was used to discover factors related with the outcome variable during data analysis using SPSS version 27. A P-value of less than 0.05 and I were regarded as statistically significant. The magnitude of harmful intrapartum practice was 60.6% (95% CI: 53.25-68.5). Lack of internet access (AOR = 10.1, 95% CI: 4.93-21.1), a few years of work experience (AOR = 6.21, 95% CI: 3.1-12.5), and not being trained on evidence-based intrapartum practices (AOR = 4.01, 95% CI: 1.94-7.95) were statistically significant with harmful intrapartum practices. Evidence-based practice can be improved by promptly providing obstetric care providers with ongoing training and standards for intrapartum care.
大多数发展中国家并未遵循世界卫生组织的重点要求，即用循证临床治疗取代有害且无效的传统做法。在这些国家，有害或无效的做法常被用作分娩期常规护理的一部分，而大多数分娩产妇并未采用有益的程序。然而，在进行治疗时采用循证做法至关重要，因为它们能提高护理质量、节省成本、提升患者及家属的满意度，并促进专业发展。为评估2023年埃塞俄比亚南部公立医院产科护理人员中不推荐的（有害的）分娩期做法的严重程度，开展了一项基于机构的横断面研究。该研究于2023年1月30日至2023年2月30日在加莫和戈法地区的公立医院进行。使用观察清单和自填式问卷收集数据。在数据分析过程中，使用SPSS 27版软件，通过95%置信区间的比值比，采用二元和多变量逻辑回归来发现与结果变量相关的因素。P值小于0.05被视为具有统计学意义。有害分娩期做法的严重程度为60.6%（95%置信区间：53.25 - 68.5）。缺乏互联网接入（比值比 = 10.1，95%置信区间：4.93 - 21.1）、工作经验年限少（比值比 = 6.21，95%置信区间：3.1 - 12.5）以及未接受循证分娩期做法培训（比值比 = 4.01，95%置信区间：1.94 - 7.95）与有害分娩期做法在统计学上具有显著相关性。通过及时为产科护理人员提供持续培训和分娩期护理标准，可改善循证做法。
