Baseline assessment of evidence-based intrapartum care practices in medical schools in 3 states in India: a mixed-methods study

Simple item page
dc.contributor.authorIyengar, Kirti
dc.contributor.authorGupta, Madhu
dc.contributor.authorPal, Swarnika
dc.contributor.authorKaur, Kiranjit
dc.contributor.authorSingla, Neena
dc.contributor.authorVerma, Madhur
dc.contributor.authorDhiman, Anchal
dc.contributor.authorSingla, Rimpi
dc.contributor.authorRohilla, Minakshi
dc.contributor.authorSuri, Vanita
dc.contributor.authorAggarwal, Neelam
dc.contributor.authorSingh, Tarundeep
dc.contributor.authorGoel, Poonam
dc.contributor.authorGoel, N. K.
dc.contributor.authorPant, Reena
dc.contributor.authorGaur, Kusum Lata
dc.contributor.authorGehlot, Hanslata
dc.contributor.authorBhati, Indra
dc.contributor.authorVerma, Manoj
dc.contributor.authorAgarwal, Sudesh
dc.contributor.authorAcharya, Rekha
dc.contributor.authorSingh, Keerti
dc.contributor.authorChauhan, Madhubala
dc.contributor.authorRastogi, Radha
dc.contributor.authorBedi, Renu
dc.contributor.authorPancholi, Poornima
dc.contributor.authorNayak, Bipin
dc.contributor.authorModi, Bhavesh
dc.contributor.authorNakum, Kanaklata
dc.contributor.authorTrivedi, Atul
dc.contributor.authorAggarwal, Shonali
dc.contributor.authorPatel, Sangita
dc.date.accessioned2022-12-20T15:32:45Z
dc.date.available2022-12-20T15:32:45Z
dc.date.issued2022-04-28
dc.description.abstractIntroduction: 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.en_US
dc.identifier.citationIyengar, 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-21-00590en_US
dc.identifier.otherDOI: 10.9745/GHSP-D-21-00590
dc.identifier.urihttps://hdl.handle.net/20.500.14041/4850
dc.language.isoen_USen_US
dc.publisherGlobal Health, Science and Practiceen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectAssessmenten_US
dc.subjectEvidence-Based Intrapartum Care Practicesen_US
dc.subjectMedical Schoolsen_US
dc.subjectIndiaen_US
dc.subjectMixed-Methods Studyen_US
dc.titleBaseline assessment of evidence-based intrapartum care practices in medical schools in 3 states in India: a mixed-methods studyen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
GH-GHSP220045.pdf
Size:
952.72 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.65 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
SRHR Evidence (Best practice, Systematic reviews)