The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Quality of maternity care practices of skilled birth attendants in Cambodia
Open accessAbstract
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 post-partum 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.
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In general, record completion and competence in routine work such as correct use of the WHO partograph, monitoring the fetal heart beat in labour, and active management of the third stage of labour were good.
“In general record completion and competence in routine work such as correct use of the WHO partograph, monitoring the fetal heart beat in labour, and active management of the third stage of labour, were good, which is often difficult to achieve [22-24,32].”
From Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment (2015) · cites this paper as [23]
The Labour and birth practices section (page unavailable) reports that only a quarter of women were monitored using a partograph and that active management of the third stage of labour was correctly performed in only five of 38 vaginal births. These findings contradict the claim that competence in those routine practices was generally good. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredIncidents of substandard care and harmful practices conferred with previously reported studies in developing countries.
“Incidents of substandard care and harmful practices conferred with previously reported studies in developing countries [22-24].”
From Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment (2015) · cites this paper as [23]
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Metadata
- Authors
- Ith, P., Dawson, A., & Homer, C.
- Affiliations
- University of Technology Sydney (AU)
- Corresponding author
- Ith, Ponndara
- Venue
- International Journal of Evidence-Based Healthcare
- Published
- 2012-03
- Volume
- 10
- Issue
- 1
- Pages
- 60-67
- ISSN
- 1744-1595 (ISSN-L)
- OpenAlex
- W2076887892
- Cited by
- 25
- References
- 28
- Citations by year
- 2026: 2 · 2023: 5 · 2021: 3 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 4 · 2013: 1 · 2012: 1
- FWCI
- 1.68
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- International Journal of Evidence-Based Healthcare (publishedVersion)
- PubMed (publishedVersion)
- OPUS - Open Publications of UTS Scholars (University of Technology Sydney) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- skilled birth attendants, maternity care quality, evidence-based recommendations, childbirth practices, partograph use, birth companions, neonatal resuscitation, skin-to-skin contact, breastfeeding, midwifery practice, Cambodia
- MeSH terms
- Adult, Cambodia, Female, Humans, Maternal Health Services, Midwifery, Postnatal Care, Pregnancy, Quality of Health Care, Practice Guidelines as Topic, Delivery, Obstetric, Evidence-Based Practice
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