Practice and factors associated with active management of third stage of labor among obstetric care providers in Amhara region referral hospitals, North Ethiopia, 2018: A cross sectional study

Autoři: Daniel Adane aff001;  Getahun Belay aff002;  Azimeraw Arega aff002;  Biresaw Wassihun aff003;  Getnet Gedefaw aff004;  Kassahun Gebayehu aff005
Působiště autorů: Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia aff001;  Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia aff002;  Department of Midwifery, College of Medicine and Health Sciences, ArbaMinch University, Arba Minch, Ethiopia aff003;  Department of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia aff004;  Department of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia aff005
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article



Active management of third stage of labor is the most indispensable intervention to avert post-partum hemorrhage which is one of the typical causes of maternal morbidity and mortality. Therefore, the aim of the study was to assess practice and factors associated with active management of third stage of labor among obstetric care providers in referral hospitals.


Institution based cross-sectional study design was conducted from April 1–30, 2018. Simple random sampling technique was used to select a total of 356 obstetric care providers. Data were collected using pretested, structured and self-administered questionnaires. Data were entered to Epi data version 3.1 statistical software and exported to SPSS 23 for analysis. Bivariate and multivariate logistic regression analyses were performed to identify associated factors. P value <0.05 with 95% confidence level were used to declare statistical significance.


This study revealed that practice of active management of third stage of labor was 61.2%. Age group of 20–30 years [AOR = 1.95 (95%CI;1.13–3.38)], Being male obstetric care provider [AOR = 1.74 (95%CI;1.03–2.94)], having work experience ≥2 years [AOR = 1.95(95%CI;1.13–3.38)], availability of oxytocin [AOR = 5.46 (95%CI; 2.41–12.3)], having exposure to manage third stage of labor [AOR = 2.91(95%CI; 1.55–5.48)], and having good knowledge [AOR = 2.67 (95%CI; 1.46–4.90)], were the factors associated with practice.


This study showed that practice of active management of third stage of labor was high. Age group between 20–30 years, being a male obstetric care provider, having ≥2years work experience, availability of oxytocin, exposure to third stage management and having good knowledge were factors associated with practice. Therefore, all referral hospitals and concerned bodies need efforts to focus on providing training to increase health care provider’s knowledge so as to sustain good practice through appropriate interventions.

Klíčová slova:

Drug administration – Drug delivery – Health care providers – Labor and delivery – Obstetrics and gynecology – Oxytocin – Amhara people – Drug regulation


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2019 Číslo 10
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