Background Even though Evidence-Based Practice (EBP) is a key component of quality of Intrapartum care and links to improved health care outcomes, consistent application of EBP in patient care remains a challenge for health care providers. In the study area, there are no previous studies conducted on evidence-based Intrapartum care practice among obstetric care providers. Therefore, this study was aimed to assess the magnitude of evidence based intra-partum care practice and its associated factors among obstetric care providers working in hospitals of Wollega zones, Oromia Region, West Ethiopia, 2022. Method An institution-based cross-sectional study using quantitative method was conducted from January to April/2022 in 11 hospitals of the four Wollega zones. All obstetric care providers (278) who were practicing intrapartum care in the selected hospitals were included. The data was collected using structured self-administered questionnaire and observational checklist. Data was entered via Epi-Data version 3.1 and analyzed by SPSS version 25 statistical software. To see the association between the independent variables and evidence based Intrapartum care practice, multivariable logistic regression analysis was done. The statistical significance of association was declared at p-value ≤ 0.05. Tables, figures and charts were also used in descriptive statistics. Result The overall magnitude of evidence-based Intrapartum care practice was found to be 63.7% [95% CI (59.7, 67.7)]. There was a statistically significant association between evidence-based Intrapartum care practice and having good knowledge about Intrapartum care practice [AOR = 2.95; 95% CI (1.52,5.73)], positive attitude towards Intrapartum care practice [AOR = 3.13; 95% CI (1.59,6.16)], availability of updated Intrapartum care guideline [AOR = 2.88; 95% CI (1.46,5.70)], number of obstetric care providers per a shift (≥5 care providers) [AOR = 2.31; 95% CI (1.01,5.29)], number of deliveries within a day (<10 deliveries) [AOR = 4.61; 95% CI (2.28,9.31)], educational level (MSc and above) [AOR = 5.75; 95% CI (2.23,14.84)] at p-value ≤ 0.05. Conclusion Our study revealed that, magnitude of evidence-based Intrapartum care practice was found to be low according to the WHO recommendation. These findings indicate that additional attention and monitoring is required to implement current Intrapartum care practices with the WHO guidelines.

Background. Pregnancy risk perception affects a pregnant woman’s decision about health care services such as prenatal care, place of birth, choices about medical interventions, adherence to medical procedures, and recommendations. Therefore, the study is aimed at assessing pregnancy risk perception and associated factors among pregnant women attending antenatal care at health centers in Jabi Tehnan District. Methods. An institutional-based cross-sectional study was conducted among 424 mothers attending ANC at health centers in the Jabi Tehnan District from April 1 to 30, 2021. Data was collected through a face-to-face interview using a structured questionnaire which was developed according to the health belief model. The logistic regression model was used using an adjusted odds ratio with 95% CI and p value < 0.05 to declare significance and associations. Result. Four hundred twenty four (424) pregnant women were interviewed of which nearly half of the respondents 48% (43.2%, 52.7%) had good pregnancy risk perception. Women who had a history of obstetric complications (AOR: 95% CI = 3.44 : 1.73 , 6.83 ), those who knew at least one pregnancy danger sign (AOR: 95% CI = 5.22 , 2.46 , 11.07 ), pregnant women who had a bad obstetric history (AOR: 95% CI = 2.23 : 1.13 , 4.41 ), and knowing women who died due to pregnancy-related complications (AOR: 95% CI = 2.85 : 1.45 , 5.60 ) were more likely to have good perception towards pregnancy risk compared to their counterparts. Conclusion. Obstetric complications, awareness of pregnancy danger signs, bad obstetric history, and known women who died due to pregnancy-related complications were found to be significantly associated with pregnancy risk perception.

Background: Pregnancy risk perception affects a pregnant woman’s decision about health care services use such as prenatal care, place of birth, choices about medical interventions, adherence to medical procedures, and recommendations. Methods: An institutional-based cross-sectional study was conducted among 424 mothers attending ANC at health centers in the Jabitenhan district from April 1 to 30, 2021. Data was collected through a face-to-face interview using a structured questionnaire which was developed according to the health belief model. The logistic regression model was used using adjusted odds ratio with 95% CI and p value <0.05Result: 424 pregnant women were interviewed of which nearly half of the respondents (48%) had good pregnancy risk perception. Women who had a history of obstetric complication (AOR:95%CI = 3.44:1.73,6.83), those who know at least one pregnancy danger sign (AOR:95%CI =5.22;2.46,11.07), pregnant women who had a bad obstetric history (AOR:95%CI = 2.23:1.13,4.41) and knowing women who died due to pregnancy-related complications (AOR:95%CI =2.85:1.45,5.60) were more likely to have good perception towards pregnancy risk as compared to their counterparts.Conclusion: Obstetric complications, awareness of pregnancy danger signs, bad obstetric history, and knowing women who died due to pregnancy-related complications were found to be significantly associated with pregnancy risk perception.

Background: Even though Evidence-Based Practice (EBP) is a key component of quality of intrapartum care and links to improved health care outcomes, consistent application of EBP in patient care remains a challenge for health care providers. Therefore, it is crucial to identify the gaps between evidence-based care and actual intrapartum practice in order to improve maternal and neonatal outcomes at birth. In the study area, there are no previous studies conducted on evidence-based intrapartum care practice among obstetric care providers. Hence, this study was aimed to assess the magnitude of evidence based intra-partum care practice and its associated factors among obstetric care providers working in hospitals of Wollega zones, Oromia, Ethiopia, 2022. Method: An institution-based cross-sectional study design using quantitative method was conducted from January to April/2022 in 11 hospitals of the four Wollega zones. All obstetric care providers (278) who were practicing intrapartum care in the selected hospitals were included. The data was collected using structured self-administered questionnaire and paper-based observational checklist. Data was entered via Epi-Data version 3.1 and analyzed by SPSS version 25 statistical software. To see the association between the independent variables and evidence based intrapartum care practice, multivariable logistic regression analysis was done. Adjusted odds ratios (OR) with their 95% Confidence interval were reported. The statistical significance of association was declared at p-value ≤ 0.05. Tables, figures and charts were also used in descriptive statistics. Result: The overall magnitude of evidence-based intrapartum care practice was found to be 63.7% [95% CI (59.7, 67.7)]. There was a statistically significant association between evidence-based intrapartum care practice and Having good knowledge about intrapartum care practice [AOR=2.95; 95% CI (1.52,5.73)], positive attitude towards intrapartum care practice [AOR=3.13; 95% CI (1.59,6.16)], availability of updated intrapartum care guideline [AOR=2.88; 95% CI (1.46,5.70)], Number of obstetric care providers per a shift (≥5 care providers) [AOR=2.31; 95% CI (1.01,5.29)], Number of deliveries within a day (<10 deliveries) [AOR=4.61; 95% CI (2.28,9.31)], Educational level ( MSc and above) [AOR=5.75; 95% CI (2.23,14.84)] at p-value ≤ 0.05. Conclusion: Our study revealed that magnitude of evidence-based intrapartum care practice was found to be low according to the WHO recommendation. We also identified non-recommended practices were frequently practiced and recommended practices were underperformed which is inconsistent with WHO recommendations. These findings indicate that additional attention and monitoring is required to implement current intrapartum care practices with the WHO guidelines.

Background: Non-reassuring fetal heart rate status (NRFHRS) is an abnormal fetal heart rate monitoring which necessitates immediate intervention. It is one of the common reducible causes of perinatal morbidity and mortality in developing countries. Despite there is limited data on the magnitude, associated factors and its outcomes in Ethiopia. Objective : To assess the magnitude, associated factors and immediate outcomes of non-reassuring fetal heart rate status among laboring mothers at South Gondar zone public hospitals, northwest Ethiopia 2022. Methods: An institutional-based cross-sectional study was conducted from June 1-30, 2022. A total of 586 laboring mothers were included. The participants were selected through systematic sampling method. Bivariable and multivariable logistic regression analysis were carried out. OR with 95% CI was used and statistical significant variables were declare if p < 0.05 in multivariable analysis. Result: The magnitude of NRFHRS was 21.16% (95%, CI: 17.9-24.7) with a response rate of 97.34%. Primigravida [AOR= 1.86, 95% CI: 1.03-3.37], anemia [AOR= 4.59, 95% CI: 1.87-11.30], referred [AOR= 1.95, 95% CI: 1.07-3.55], induction of labor [AOR= 3.78, 95% CI: 1.20-11.9], meconium stained amniotic fluid [AOR= 14.13, 95% CI: 7.53-26.50], prolonged rupture of membrane [AOR= 11.70), 95% CI: 5.40-25.34] and low birth weight [AOR=5.08, 95% CI: 2.20-11.74] were significantly associated with NRFHRS. 4.8% of fetus was still birth. Conclusion : In this study the magnitude of NRFHRS was high compared to studies in Africa. Being primigravida, anemic, referred, induction of labor, meconium-stained amniotic fluid, prolonged rupture of membrane and low birth weight were significantly associated with NRFHRS. Assigning adequate number of midwifes for good labor follow-up, properly counsel on nutrition and iron and folic acid and give due attention on labor follow-up would minimize NRFHRS.