Evidence Based Intrapartum Practice And Associated Factors Among Obstetric Care Providers In Selected Public Hospitals Of Addis Ababa Ethiopia2020.

Background: The World Health Organization stated that ‘child birth is a normal process andrnin normal birth, there should be scientific based reason to interfere with’ and encouragedrnpractices that are ostensibly supported by evidences. But, the reality experienced by womenrnand babies in a multitude of settings is far from this, and access to essential interventions is notrnuniversal. However, only limited study was conducted in Ethiopia to assess this problem.rnObjective: The aim of this study is to assess magnitude of evidence-based intra-partumrnpractice and its associated factors among obstetric care providers in selected public hospital ofrnAddis Ababa city, Addis Ababa, Ethiopia 2020.rnMethods: A facility-based, cross-sectional study design was conducted in Addis Ababa cityrnselected public hospitals. A simple random sampling technique was used to select 398 studyrnparticipants after the sampling procedure is undertaken. The data was collected usingrnstructured and pre-tested self-administered questionnaire; and structured and pre-testedrnobservational checklist from March 17 to April 16/2020. Bivariate and multivariable logisticrnregression were done to identify factors associated with evidence-based intra-partum practicernusing odds ratio at 95% C.I and P-value < 0.05 was considered statistically significant. SPSSrnversion 25 was used for data analysis. rnResult: From the total of 398 study participants 386 responded for the question with arnresponse rate of (97%).The overall magnitude of evidence-based intrapartum care was 51%rnwith 95% CI. There is a significant association between evidence-based intrapartum practicernand knowledge of the care provider [AOR=2.81; 95% CI (1.79, 4.37)], having of trainingrn[AOR=1.73; 95% CI (1.12-2.67)], salary [AOR=2.41; 95% CI (1.20-4.84)] and educationalrnlevel [AOR=4.09; 95% CI (1.45-11.55)] at p-value < 0.05. rnConclusion and recommendation: The current evidence-based practice of intrapartum carernamong obstetric care providers in Addis Ababa public hospitals was 51%. Educational level,rnknowledge, attitude, salary and training were factors statistically associated with evidencernbased intrapartum practice. Avail updated intrapartum care guidelines, providing continuousrntraining; be helpful for maximizing evidence-based intrapartum care.

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