Assessment of Midwife Knowledge, Practice, and Associated Factors towards Active Management of the Third Stage of Labor at Governmental Health Institutions in Tigray Region, Northern Ethiopia, 2018
Table 4
Practice level of midwives towards active management of the third stage of labor in governmental health institutions in the Tigray region, Ethiopia, 2018.
Variables
Response options
Frequency ()
Percentage (%)
Palpate maternal abdomen to rule out presence of another baby
(i) No
98
35.3
(ii) Yes
180
64.7
Uterotonic drug given for active management of third stage of labor
Oxytocin
278
100
Dose of oxytocin given
10 IU
278
100
Route of oxytocin administration for active management of third stage of labor
IM
278
100
Wait for strong uterine contraction for 2-3 minutes to apply CCT
(i) No
84
30.2
(ii) Yes
194
69.8
Does not wait for gush of blood to apply CCT
(i) No
93
33.5
(ii) Yes
185
66.5
Apply CCT correctly
(i) No
79
28.4
(ii) Yes
199
71.6
Support placenta with both hands during its delivery
(i) No
83
29.9
(ii) Yes
195
70.1
Extract membrane gently with lateral movement
(i) No
79
28.4
(ii) Yes
199
71.6
Immediate uterine massage
(i) No
72
25.9
(ii) Yes
206
74.1
Assess maternal genitalia for tear and trauma
(i) No
71
25.5
(ii) Yes
207
74.5
Assess completeness of placenta and membrane
(i) No
91
32.7
(ii) Yes
187
67.3
Ensure uterus does not relax after stopping uterine massage
(i) No
68
24.5
(ii) Yes
210
75.5
Inform the mother to massage the uterus every 15 minutes for the 1st 2 hrs
