Study of the Active Management of the Third Stage of Labor (AMTSL) in Four Maternity Hospitals in the Commune of Kara (Togo)  

作　　者：Dédé Régine Diane Ajavon Akila Bassowa Baguilane Douaguibe Ameyo Ayoko Ketevi Kossi Edem Logbo-Akey Lihanimpo Djalogue Ayékinam Kadjo Enam Ahiave Ameyo Vignona Abidi Mazahalo Baniza Abdoul-Samadou Aboubakari Dédé Régine Diane Ajavon;Akila Bassowa;Baguilane Douaguibe;Ameyo Ayoko Ketevi;Kossi Edem Logbo-Akey;Lihanimpo Djalogue;Ayékinam Kadjo;Enam Ahiave;Ameyo Vignona Abidi;Mazahalo Baniza;Abdoul-Samadou Aboubakari(Department of Obstetric Gynecology, University of Kara, Kara, Togo;National School of Kara Midwives, University of Kara, Kara, Togo;Department of Obstetric Gynecology, University of Lomé, Lomé, Togo;Department of Medicine, University of Kara, Kara, Togo)

机构地区：[1]Department of Obstetric Gynecology, University of Kara, Kara, Togo [2]National School of Kara Midwives, University of Kara, Kara, Togo [3]Department of Obstetric Gynecology, University of Lomé, Lomé, Togo [4]Department of Medicine, University of Kara, Kara, Togo

出　　处：《Open Journal of Obstetrics and Gynecology》2021年第9期1151-1160,共10页妇产科期刊（英文）

摘　　要：<strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Active management of the third period of labor (AMTSL) significantly prevents postpartum hemorrhage onset. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> To assess the practice of AMTSL in four maternity in the commune of Kara (Kara University Hospital Center, Kara Tomd</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">è </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">Regional Hospital Center, SOS Kara Mother-Child Hospital, and Adabaweré Peripheral Care Unit). </span><b><span style="font-family:Verdana;">Method:</span></b><span style="font-family:Verdana;"> This was a cross-sectional descriptive study over four months, from January 28 to May 28, 2019. Two questionnaires were used for data collection: an observation and evaluation grid AMTSL practice and a questionnaire for providers. The grid was designed and adapted to the RPC repository model for emergency obstetric and neonatal care in Africa 2018. The data was processed using the Epi Info 7 software. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">During the study period, 528 parturients were identified and 30 providers surveyed. No provider had received ongoing training in AMTSL. The practice of AMTSL was systematic at each delivery. The practice was correct in 45.8%. Factors associated with incorrect practice were relationship between caregiver-patient (p = 0.0005), placental examination (p = 0.0003), postpartum monitoring (p = 0.0001). </span><b><span style="font-family:Verdana;">Conclusion and Suggestion:</span></b><span style="font-family:Verdana;"> The practice of AMTSL is systematic, but it was incorrect regardless of the provider’s qualification. Continuing education on AMTSL is necessary to prevent postpartum<strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Active management of the third period of labor (AMTSL) significantly prevents postpartum hemorrhage onset. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> To assess the practice of AMTSL in four maternity in the commune of Kara (Kara University Hospital Center, Kara Tomd</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">è </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">Regional Hospital Center, SOS Kara Mother-Child Hospital, and Adabaweré Peripheral Care Unit). </span><b><span style="font-family:Verdana;">Method:</span></b><span style="font-family:Verdana;"> This was a cross-sectional descriptive study over four months, from January 28 to May 28, 2019. Two questionnaires were used for data collection: an observation and evaluation grid AMTSL practice and a questionnaire for providers. The grid was designed and adapted to the RPC repository model for emergency obstetric and neonatal care in Africa 2018. The data was processed using the Epi Info 7 software. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">During the study period, 528 parturients were identified and 30 providers surveyed. No provider had received ongoing training in AMTSL. The practice of AMTSL was systematic at each delivery. The practice was correct in 45.8%. Factors associated with incorrect practice were relationship between caregiver-patient (p = 0.0005), placental examination (p = 0.0003), postpartum monitoring (p = 0.0001). </span><b><span style="font-family:Verdana;">Conclusion and Suggestion:</span></b><span style="font-family:Verdana;"> The practice of AMTSL is systematic, but it was incorrect regardless of the provider’s qualification. Continuing education on AMTSL is necessary to prevent postpartum

关 键 词：AMTSL Assessment MIDWIVES State Auxiliary Birth Attendants TOGO 

分 类 号：O17[理学—数学]