Assessment of Frequency of Vaginal Examination and Associated Factors by Health Care Providers during Normal Labour in Selected Public Hospitals in Addis Ababa, Ethiopia

Eifa, Aberash (2015) Assessment of Frequency of Vaginal Examination and Associated Factors by Health Care Providers during Normal Labour in Selected Public Hospitals in Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: The National Institute for Health and Clinical Excellence (NICE) Intrapartum guidelines recommend that vaginal examination (VEs) should not be routinely performed and that women should be ‘offered’ a VE every four hours. Research has shown that the performance of multiple vaginal examinations can be a risk factor for maternal or fetal infection. Objectives: To assess the reasons and frequency of vaginal examination by health care providers during normal labour in selected public hospitals of Addis Ababa, Ethiopia from April to May 2015 Methods: Institutional based cross-sectional descriptive study was conducted and the study participants were health personnel who attend to labour cases in the selected public hospitals and clients with normal labour who consented to participate in the study during the study period were included. Study setting was selected purposively based on its client flow from the total public hospitals in Addis Ababa and convenience sampling technique was used for selecting study participants. Result: In this study the number of vaginal examination performed for each women ranges from one to seven (mean 2.24, SD 0.67), the majority of them were examined 3-4 times 93 (50.0%) during their labour time. The main reason given by health care providers to conduct vaginal examination was to check the onset of labour and to check progress of labour .Logistic regression analysis showed that 1-2 health care providers 0.043 times less likely had frequent vaginal examination when compared to 3-7 health care providers with adjusted OR 0.043; 95% CI (0.006, 0.330). Conclusion and recommendation: frequency of vaginal examination is mostly affected by number of health care providers who conduct VEs and duration of labour. So, vaginal examination should have performed only when it is necessary by following WHO guidelines.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Vaginal examinations; Progress in labour; health care provider; Labour
Subjects: Q Science > Q Science (General)
R Medicine > RT Nursing
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 01 Oct 2018 11:40
Last Modified: 01 Oct 2018 11:40
URI: http://thesisbank.jhia.ac.ke/id/eprint/5845

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