Evidence map›Paper›PMID 34108001›Full record

ArticleReproductive health2021

Knowledge on intrapartum care practices among skilled birth attendants in Cambodia-a cross-sectional study.

Mitsuaki Matsui, Yuko Saito, Rithy Po, Bunsreng Taing, Chamnan Nhek, Rathavy Tung, Yoko Masaki, Azusa Iwamoto

Abstract read
In one paragraph

Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mitsuaki MatsuiDepartment of Global Health, Nagasaki University School of Tropical Medicine and Global Health, Sakamoto 1-12-4, Nagasaki, 852-8523, Japan. mmatsui@nagasaki-u.ac.jp.ORCID http://orcid.org/0000-0003-4075-1266
Yuko SaitoDepartment of Global Health, Nagasaki University School of Tropical Medicine and Global Health, Sakamoto 1-12-4, Nagasaki, 852-8523, Japan.
Rithy PoPhnom Penh Municipal Health Department, Ministry of Health, Street 2011, Sangkat Phnom Penh Thmey, Khan Sensok, Phnom Penh, Cambodia.
Bunsreng TaingProject for Improving Continuum of Care with focus on Intrapartum and Neonatal Care in Cambodia, Japan International Cooperation Agency, Building 61-64, Preah Norodom Blvd, Phnom Penh, Cambodia.
Chamnan NhekProject for Improving Continuum of Care with focus on Intrapartum and Neonatal Care in Cambodia, Japan International Cooperation Agency, Building 61-64, Preah Norodom Blvd, Phnom Penh, Cambodia.
Rathavy TungProject for Improving Continuum of Care with focus on Intrapartum and Neonatal Care in Cambodia, Japan International Cooperation Agency, Building 61-64, Preah Norodom Blvd, Phnom Penh, Cambodia.
Yoko MasakiProject for Improving Continuum of Care with focus on Intrapartum and Neonatal Care in Cambodia, Japan International Cooperation Agency, Building 61-64, Preah Norodom Blvd, Phnom Penh, Cambodia.
Azusa IwamotoProject for Improving Continuum of Care with focus on Intrapartum and Neonatal Care in Cambodia, Japan International Cooperation Agency, Building 61-64, Preah Norodom Blvd, Phnom Penh, Cambodia.

Funding

Japan Society for the Promotion of Science 15H05302Toyota Foundation D15-R-0447
6 · The paper itself

Abstract

backgroundDelivery is a critical moment for pregnant women and babies, and careful monitoring is essential throughout the delivery process. The partograph is a useful tool for monitoring and assessing labour progress as well as maternal and foetal conditions; however, it is often used inaccurately or inappropriately. A gap between practices and evidence-based guidelines has been reported in Cambodia, perhaps due to a lack of evidence-based knowledge in maternity care. This study aims to address to what extent skilled birth attendants in the first-line health services in Cambodia have knowledge on the management of normal delivery, and what factors are associated with their level of knowledge.

methodsMidwives and nurses were recruited working in maternity in first-line public health facilities in Phnom Penh municipality, Kampong Cham and Svay Rieng provinces. Two self-administered questionnaires were applied. The first consisted of three sections with questions on monitoring aspects of the partograph: progress of labour, foetal, and maternal conditions. The second consisted of questions on diagnostic criteria, normal ranges, and standard intervals of monitoring during labour. A multiple linear regression analysis was performed to identify relationships between characteristics of the participants and the questionnaire scores.

resultsOf 542 eligible midwives and nurses, 523 (96%) participated. The overall mean score was 58%. Only 3% got scores of more than 90%. Multivariate analysis revealed that 'Kampong Cham province', 'younger age', and 'higher qualification' were significantly associated with higher scores. Previous training experience was not associated with the score. Substantial proportions of misclassification of monitoring items during labour were found; for example, 61% answered uterine contraction as a foetal condition, and 44% answered foetal head descent and 26% answered foetal heart rate as a maternal condition.

conclusionThis study found that knowledge was low on delivery management among skilled birth attendants. Previous training experience did not influence the knowledge level. A lack of understanding of physiology and anatomy was implied. Further experimental approaches should be attempted to improve the knowledge and quality of maternity services in Cambodia.

Indexed as

ParturitionPostnatal CareAdultCambodiaCross-Sectional StudiesDelivery, ObstetricFemaleFetal MonitoringHealth Knowledge, Attitudes, PracticeHumansMaternal Health ServicesMiddle AgedMidwiferyPractice Guidelines as TopicPregnancyUterine MonitoringCambodia (MeSH terms)Intrapartum careMidwifery (MeSH terms)PartographSkilled birth attendant

Identifiers

PMID34108001
PMCPMC8191061

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.