What does this research mean for the field?

Obstetric care providers in western Ethiopia demonstrate simultaneous underuse of important recommended intrapartum care practices and persistent use of non-recommended routine interventions. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To assess adherence to evidence-based recommended and non-recommended intrapartum care practices among hospital obstetric care providers using WHO intrapartum care standards.

September 8, 2026F1000ResearchOpen Access

Recommended and Non-recommended Intrapartum Care Practices among Obstetric Care Providers in Hospitals of Wollega Zones, Oromia, Ethiopia: A Direct Observation Study

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Authors

SWSeid WodajoAsossa University

Discussion

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Implication

Observational study reveals underuse of beneficial practices and persistent non-recommended interventions in obstetric providers, highlighting the need for targeted maternity care reform.

Key Points

To assess adherence to evidence-based recommended and non-recommended intrapartum care practices among hospital obstetric care providers using WHO intrapartum care standards.
Conducted a facility-based cross-sectional observational study from 20 January to 20 April 2022 across 11 hospitals in the Wollega zones of Oromia, Ethiopia.
Directly observed N=278 eligible obstetric care providers using a 27-item checklist adapted from WHO intrapartum care guidelines.
Calculated implementation proportions for recommended and non-recommended practices and referenced parent-study multivariable logistic regression modeling for predictors of evidence-based care.
Commonly performed recommended practices included prophylactic oxytocin (78.5%), controlled cord traction (77.0%), vitamin K prophylaxis (76.4%), and early breastfeeding initiation (75.3%).
Recommended practices with low uptake included opioid analgesia (41.5%), relaxation techniques (53.8%), manual pain management (59.3%), and immediate postpartum assessment (60.0%).
Non-recommended routine practices were widespread, including sustained uterine massage after oxytocin (69.9%), routine suctioning of vigorous neonates (63.9%), routine amniotomy (45.0%), and routine antibiotic prophylaxis following uncomplicated delivery (44.6%).

Cite This Study

Seid Wodajo (2026) studied this question.

synapsesocial.com/papers/6a9fd79b58e84d0ff5b465d6 https://doi.org/10.12688/f1000research.189341.1

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Implication

Observational study reveals underuse of beneficial practices and persistent non-recommended interventions in obstetric providers, highlighting the need for targeted maternity care reform.

Recommended and Non-recommended Intrapartum Care Practices among Obstetric Care Providers in Hospitals of Wollega Zones, Oromia, Ethiopia: A Direct Observation Study

Discussion

Member takes

Implication

Key Points

Cite This Study

Recommended and Non-recommended Intrapartum Care Practices among Obstetric Care Providers in Hospitals of Wollega Zones, Oromia, Ethiopia: A Direct Observation Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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