Baseline assessment of evidence-based intrapartum care practices in medical schools in 3 states in India: a mixed-methods study
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Authors
Iyengar, Kirti
Gupta, Madhu
Pal, Swarnika
Kaur, Kiranjit
Singla, Neena
Verma, Madhur
Dhiman, Anchal
Singla, Rimpi
Rohilla, Minakshi
Suri, Vanita
Issue Date
2022-04-28
Type
Article
Language
en_US
Keywords
Assessment , Evidence-Based Intrapartum Care Practices , Medical Schools , India , Mixed-Methods Study
Alternative Title
Abstract
Introduction:
Implementation research with pre- and post-comparison was planned to improve the quality of evidence-based intrapartum care services in Indian medical schools. We present the baseline study results to assess the status of adherence to intrapartum evidence-based practices (IP-EBP) in study schools in 3 states in India and the perception of the faculty.
Methods:
A concurrent mixed-methods approach was used to conduct the baseline assessment in 9 medical schools in Rajasthan, Gujarat, and Union Territory from October 2018 to June 2019. IP-EBP among pregnant women in uncomplicated first (n=135), second (n=120), and third stage (n=120) of labor were observed using a predesigned, pretested checklist quantitatively. We conducted in-depth interviews with 33 obstetrics and gynecology faculty to understand their perceptions of intrapartum practices. Quantitative data were analyzed using SPSS (version 22). COM-B (Capability, Opportunity, and Motivation Behavior) model was used to understand the behaviors, and thematic analysis was done for the qualitative data.
Findings:
Unindicated augmentation of labor was done in 64.4%, fundal pressure applied in 50.8%, episiotomy done in 58.3%, and delivery in lithotomy position was performed in 86.7% of women in labor.
Conclusions:
Intrapartum practices that are not recommended were routinely practiced in the study medical schools due to a lack of staff awareness of evidence-based practices and incorrect beliefs about their impact.
Description
Citation
Iyengar, K., Gupta, M., Pal, S., Kaur, K., Singla, N., Verma, M., Dhiman, A., Singla, R., Rohilla, M., Suri, V., Aggarwal, N., Singh, T., Goel, P., Goel, N. K., Pant, R., Gaur, K. L., Gehlot, H., Bhati, I., Verma, M., Agarwal, S., … Patel, S. (2022). Baseline Assessment of Evidence-Based Intrapartum Care Practices in Medical Schools in 3 States in India: A Mixed-Methods Study. Global health, science and practice, 10(2), e2100590. https://doi.org/10.9745/GHSP-D-21-00590
Publisher
Global Health, Science and Practice