Quality of maternity care practices of skilled birth attendants in Cambodia

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dc.contributor.author Ith, P
dc.contributor.author Dawson, A
dc.contributor.author Homer, C
dc.date.accessioned 2012-10-12T03:34:15Z
dc.date.issued 2012-03
dc.identifier.citation International Journal of Evidence-Based Healthcare, 2012, 10 (1), pp. 60 - 67
dc.identifier.issn 1744-1595
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18476
dc.description.abstract Background: The World Health Organization's recommended package of interventions for the integrated management of pregnancy and childbirth provides guidance for the use of evidence-based interventions to ensure the best outcomes for mother and newborn. However, the extent to which skilled birth attendants (SBAs) follow evidence-based guidelines is not known. There are few studies into childbirth practices of SBAs in Cambodia. The aim of this study was to observe practices of SBAs during labour, birth and the immediate post-partum period and their consistency with evidence-based guidelines. Methods: A structured non-participant observation study was undertaken. Data were collected using an observational checklist of evidence-based practices adapted from the Cambodian clinical assessment tools for associate degree in midwifery. Maternity care settings in one provincial hospital, two district referral hospitals and two health centres in one province of Cambodia were purposively selected. Results: Twenty-five SBAs who attended 40 women during labour, birth and the postnatal period were observed. The results showed that the use of the partograph was low; birth companions were not permitted; cleanliness during birth was lacking; management of the third stage of labour was inappropriate; monitoring of mother and baby in the early postnatal period was lacking; the SBAs lacked skills in neonatal resuscitation; skin-to-skin contact with the newborn and early breastfeeding were rare; and intramuscular injection of vitamin K varied. Conclusion: The findings suggest that the current SBA practices during labour, birth and the immediate postpartum period in one province of Cambodia are not consistent with evidence-based guidelines. Service improvements that address evidence-based practices are likely to have an impact on clean and safe childbirth, thereby enhancing outcomes for Cambodia women. © 2012 The Authors International Journal of Evidence-Based Healthcare © 2012 The Joanna Briggs Institute.
dc.language eng
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon 10.1111/j.1744-1609.2012.00254.x
dc.title Quality of maternity care practices of skilled birth attendants in Cambodia
dc.type Journal Article
dc.description.version Published
dc.parent International Journal of Evidence-Based Healthcare
dc.journal.volume 1
dc.journal.volume 10
dc.journal.number 1 en_US
dc.publocation Australia en_US
dc.identifier.startpage 60 en_US
dc.identifier.endpage 67 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.for 1110 Nursing
dc.for 1103 Clinical Sciences
dc.personcode 995146
dc.personcode 111637
dc.percentage 34 en_US
dc.classification.name Clinical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Cambodia
dc.description.keywords Childbirth
dc.description.keywords Evidence-based practice
dc.description.keywords Labour practice
dc.description.keywords Skilled birth attendant
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Open Access
utslib.copyright.date 2015-04-15 12:23:47.074767+10
pubs.consider-herdc true
utslib.collection.history General (ID: 2)

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