Introduction. Delivery of the infant into the arms of a conscious and pain-free mother is the most exciting and rewarding moment in maternal care services. Physical and mental care of women during delivery requires good knowledge and a positive insight to the needs and rights of the mothers. Little was known regarding skilled birth attendants’ knowledge, attitude, and practice towards labor pain management in the study area. Hence, the current study aimed at assessing knowledge, attitude, and practice, and associated factors towards labor pain management among skilled birth attendants working at hospitals found in central, west, and north Gondar zones, northwest Ethiopia, 2019. Method. A multicenter institution-based cross-sectional study was conducted from June 1 to 30, 2019. A census sampling technique was used to include a total of 336 skill birth attendants. A pretested standardized self-administered questionnaire was used to collect the data. The data were then entered into Epi Info 7.1.2 and exported to SPSS version 25 for analysis. Multivariable logistic regression analyses were undertaken to identify factors associated with outcome variables. The level of significance of the study was declared based on adjusted odds ratio with 95% confidence interval at a p value of ≤0.05. Result. The proportion of skill birth attendants having good knowledge, a favorable attitude, and a good practice on labor pain relief methods was 47%, 41.96%, and 57.14%, respectively. Age of ≤30 years (AOR = 5.43; 95% CI: 1.25, 23.53), educational status of 2nd degree and above (AOR = 3.56; 95% CI: 1.32, 9.60), working at a private primary hospital (AOR: = 6.55; 95% CI: 2.15, 19.93), and working at a referral hospital (AOR = 2.24 : 95% CI: 1.01, 4.93) are factors significantly associated with good knowledge while having good knowledge on labor pain relief methods (AOR = 2.26; 95% CI: 1.42, 3.60) and working at private primary hospitals (AOR = 7.01; 95% CI: 1.92, 25.65) had statistically significant association with favorable attitude and good practice on labor pain relief methods, respectively. Conclusion and Recommendations. Poor knowledge, unfavorable attitude, and poor practice towards labor pain management were found in this study. Strengthening the capacity of public health facilities and providing continuous professional development (CPD) training for the skilled birth attendants would be helpful in improving knowledge, attitude, and practice towards labor pain management.

Background: The postpartum period is a crucial time to prevent short inter-pregnancy interval and unwanted pregnancies. Despite it is the most ideal period to create awareness regarding knowledge and attitudes of postpartum mothers about contraceptive methods, it is the most neglected part of the continuum of care. Therefore, this study aimed to assess knowledge of postpartum women about modern contraceptive methods and attitudes towards its utilization in Debre Tabor town, northwest Ethiopia, 2018.Methods: A community-based cross-sectional study was conducted among 552 postpartum mothers at Debre Tabor town from September 20 to October 20, 2018. A cluster sampling technique was used to select the study participants. A pre-tested structured questionnaire was used to collect the data. Data were entered into Epi info version 7 and analyzed by SPSS version 20 software. Multivariable logistic regression model was fitted to identify associated factors. Results: The overall prevalence of good knowledge and favorable attitude towards modern contraceptive methods was 57.6% (95% CI: 53.3%, 61.6%) and 40.6% (95% CI: 36.8, 44.6) respectively. Higher education [AOR: 2.15 (95% CI: 1.36, 3.4)], ever had a discussion with their husband about contraception [AOR: 2.15 (95% CI: 1.48, 3.14)] and ever used modern contraceptive methods [AOR: 1.87 (95% CI: 1.15, 3.03)] were found to be significantly associated with good knowledge of postpartum modern contraceptive methods. Besides, maternal age of 25-34-year-old (AOR= 0.42; 95% CI: 0.27, 0.65), having prior information about contraceptive methods (AOR= 1.73; 95% CI: 1.19, 2.53) and good knowledge of postpartum modern contraceptive methods were associated with the attitude of mothers towards modern contraceptive methods.Conclusion: More than half of the respondents had good knowledge about modern contraceptive methods. But, mother’s favorable attitude towards its utilization is lower compared to other studies. Mother’s higher educational status, ever discussed about contraceptive methods with their husband, and ever used contraceptive methods were the factors significantly associated with knowledge of postpartum modern contraceptive methods. Furthermore, adequate knowledge of postpartum modern contraceptive methods, age group of 25-34 years old and having prior information about contraceptive methods were the factors that significantly associated with the attitude of women.