Knowledge and Attitude of Obstetric Care Providers on Partograph and Its Associated Factors in East Gojjam Zone, Northwest Ethiopia

Abstract

Introduction. Universal use of partograph is recommended during labor, to improve maternal and fetal outcome. The aim was to assess knowledge and attitude of obstetric caregivers about partograph and associated factors. Methods. Facility based cross-sectional study was conducted on 273 study participants. Study facilities and study units were selected using simple random sampling technique. Midwives, Nurses, Public Health Officers, Medical Doctors, and masters in Emergency Surgery and Obstetric were included in the study. Epi-data and SPSS statistical software were used. Results. About 153 (56.04%) and 150 (54.95%) of the obstetric caregivers had good knowledge and favorable attitude about partograph, respectively. Knowledge of partograph was significantly higher among obstetric caregivers that learnt about partograph during their College and who had received partograph on job training (AOR: 2.14, 95% C.I (1.17–3.93)) and (AOR: 2.25, 95% C.I (1.21–4.19)), respectively. Favorable attitude towards partograph was significantly higher among obstetrical caregivers who had training and learnt about partograph during their college (AOR: 3.37, 95% C.I (1.49–5.65)) and (AOR: 2.134, 95% C.I (1.175–3.877)), correspondingly. Conclusion. Above half of obstetric caregivers had good knowledge and a favorable attitude on partograph. The provision of on preservice and job training is necessary to improve caregivers' knowledge and attitude.

Use of the partogram in a private hospital in South Africa

“…A knowledge gap in the functions of the alert and action line was identified in this study, similar to that identified in Ethiopia (Abebe et al, 2013;Zelellw et al, 2016).…”

“…Identifying the specific time to commence recording on the partogram was a problem in Ghana (Konlan et al, 2016). When to start plotting the partogram was a problem in Ethiopia (Zelellw et al, 2016). Poor practices such as completing the partogram after delivery as indicated by one midwife in this study are also well described by numerous studies in Ollerhead and Osrin (2014).…”

“…Although the compliance rates of maternal pulse (25%) was low in Zambia, most midwives considered blood pressure to be the most important item for early detection of pre-eclampsia and eclampsia (Fujita et al, 2015). More (68.1%) obstetric caregivers in Ethiopia knew that urine volume, protein, and ketone bodies are components in monitoring of the maternal conditions (Zelellw et al, 2016).…”

Willingness to Use Mobile based e-Partograph and Associated Factors among Care Providers in North Gondar Zone, Northwest Ethiopia

“…Obstetric care providers who scored mean value and above to knowledge related to Partograph questions were determined to have good knowledge [20]. Obstetric care providers who scored mean value and above to attitude related to Partograph questions were also determined to have favorable attitude [21].…”

Digital Scales of Web-Based Partograph in Detecting the Early Postpartum Bleeding

“…Thus, it can reduce the Maternal Mortality Rate (MMR). The first partograph was introduced by Friedman in 1950, then developed and redesigned by Philpott and Puri in 1971 by adding the concept of warning and action lines (Archa Prem 2013; Gitanjali, 2016;Sinha, 2016;Opoku & Nguah, 2015;Akpan, 2014;Mathibe Neke & Matupa, 2013;Yisma,2013;Hasan, 2017;Fatouh & Ramadan, 2015;Suchika et al, 2014;Mandiwa & Zamawe, 2017;Nwaneri et al, 2017;Bedwell, Levin, Pett, & Lavender,2017;Zelellw, 2016;Okokon et al, 2014;Pusparinda, 2015;Markos & Bogale, 2015). used and managed properly, Thus it is necessary to develop the tool (Ashish, Wrammert, Clark, Ewald, & Malqvist, 2016).…”