Management of the third stage of labor in an Egyptian teaching hospital

Cherine, M.; Khalil, Karima; Hassanein, Nevine; Sholkamy, Hania; Breebaart, Miral; Elnoury, Amr

doi:10.1016/j.ijgo.2004.05.013

Cited by 23 publications

(20 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This study's findings about the quality of management of the third stage of labor, particularly during the pre-intervention phase, are in agreement with what was found by Cherine et al [25]. Day-to-day practice in delivery rooms can be inconsistent, especially when uterotonics are used.…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Misoprostol and active management of the third stage of labor

Prata¹,

Hamza²,

Gypson³

et al. 2006

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 91%

“…A careful analysis of the management of the third stage of labor in an Egyptian teaching hospital showed that only 15% of the women received adequate AMTSL during the study period [25]. Staff shortages were given as the main explanation for the generally inappropriate management of deliveries, and that study's findings are not unique.…”

Section: Introductionmentioning

confidence: 84%

Misoprostol and active management of the third stage of labor

Prata¹,

Hamza²,

Gypson³

et al. 2006

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…This paper presents selected findings from four studies documenting routine obstetric practices in Egypt, Lebanon, Syria and the West Bank and compares these to evidence‐based best practice. Other findings are presented elsewhere 16–20 …”

Section: Introductionmentioning

confidence: 66%

“…Observations were done by non‐staff female obstetricians using a 200‐item checklist covering 537 variables after obtaining informed consent. One woman refused to be observed 17,22 . Ward practices were also recorded and mothers were interviewed postpartum.…”

Section: Methodsmentioning

confidence: 99%

Routines in facility‐based maternity care: evidence from the Arab World

Khalil¹,

Sholkamy²,

Hassanein³

et al. 2005

BJOG

View full text Add to dashboard Cite

Objectives To document facility‐based practices for normal labour and delivery in Egypt, Lebanon, the West Bank (part of the Occupied Palestinian Territory) and Syria and to categorise common findings according to evidence‐based obstetrics. Design Three studies (Lebanon, West Bank and Syria) interviewed a key informant (providers) in maternity facilities. The study in Egypt directly observed individual labouring women. Setting Maternity wards. Sample Nationally representative sample of hospitals drawn in Lebanon and Syria. In the West Bank, a convenience sample of hospitals was used. In Egypt, the largest teaching hospital's maternity ward was observed. Methods Shared practices were categorised by adapting the World Health Organization's (WHO) 2004 classification of practices for normal birth into the following: practices known to be beneficial, practices likely to be beneficial, practices unlikely to be beneficial and practices likely to be ineffective or harmful. Main outcome measures Routine hospital practices for normal labor and delivery. Results There was infrequent use of beneficial practices that should be encouraged and an unexpectedly high level of harmful practices that should be eliminated. Some beneficial practices were applied inappropriately and practices of unproven benefit were also documented. Some documented childbirth practices are potentially harmful to mothers and their babies. Conclusion Facility practices for normal labour were largely not in accordance with the WHO evidence‐based classification of practices for normal birth. The findings are worrying given the increasing proportion of facility‐based births in the region and the improved but relatively high maternal and neonatal mortality ratios in these countries. Obstacles to following evidence‐based protocols for normal labour require examination.

show abstract

“…In one Egyptian hospital, third stage management practices were observed and it was found that third stage active management was correctly done in 15% of women observed. 12 In one WHO's facility based study of AMTSL in six countries where labour practices were directly observed in the third stage, it was reported that 94% of the women observed were given oxytocin or another uterotonic. There was variation between the countries in the practices CCT, uterine massage and timing of uterotonic administration.…”

Section: Resultsmentioning

confidence: 99%