Quality of maternity care practices of skilled birth attendants in Cambodia

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dc.contributor.author Ith, Ponndara en_US
dc.contributor.author Dawson, Angela en_US
dc.contributor.author Homer, Caroline en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-10-12T03:34:15Z
dc.date.available 2012-10-12T03:34:15Z
dc.date.issued 2012 en_US
dc.identifier 2011006101 en_US
dc.identifier.citation Ith Ponndara, Dawson Angela, and Homer Caroline 2012, 'Quality of maternity care practices of skilled birth attendants in Cambodia', Wiley-Blackwell Publishing Asia, vol. 10, no. 1, pp. 60-67. en_US
dc.identifier.issn 1744-1595 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18476
dc.description.abstract 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. en_US
dc.language en_US
dc.publisher Wiley-Blackwell Publishing Asia en_US
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon http://dx.doi.org/10.1111/j.1744-1609.2012.00254.x en_US
dc.title Quality of maternity care practices of skilled birth attendants in Cambodia en_US
dc.parent International Journal of Evidence-Based Healthcare en_US
dc.journal.volume 10 en_US
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 110300 en_US
dc.personcode 11201290 en_US
dc.personcode 111637 en_US
dc.personcode 995146 en_US
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, childbirth, evidence-based practice, labour practice, skilled birth attendant en_US
dc.staffid en_US
dc.staffid 995146 en_US

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