Adherence to intrapartum evidence-based practice and factors associated with it among midwives; a multi-center study

To reduce mortalities and improve outcomes for women and babies, every woman and every newborn must get routine, evidence-based care and management of complications during labour, childbirth, and the early postnatal period. This study aimed to assess midwives adherence to intrapartum evidence-based practice and factors associated with it. Institutional based cross-sectional study design was applied. Data was collected on 190 midwives via observational check list and a self-administered structured questionnaire. The collected data was entered into Epi Data version 3.1, and exported to STATA version 17 for analysis. Descriptive statistics was presented in tables and graphs. Bi-variable and multivariable logistic regression was performed to identify statistically significant variables using a cut-off p < 0.2 in the bi-variable analysis to identify candidate variables for multivariable logistic regression. AOR with 95 % confidence interval was used to declare statistically significant variables on the basis of p < 0.05 in the multivariable logistic regression model. The overall proportion of good adherence towards intrapartum evidence-based practice among Midwives was 58.42 % (95 % CI: 51.22, 65.28 %). Work experience of ≥ 5 years [AOR: 6.43; 95 %CI (3.09, 13.42)], availability of intrapartum care related guidelines in the workplace [AOR: 2.55; 95 %CI (1.16, 5.6)], internet accesses in the hospital [AOR: 2.54; 95 %CI (1.26, 5.94)], attend trainings related to intrapartum EBP [AOR: 2.46; 95 % CI (1.06, 5.7)]. Using scientific journals for health information source [AOR: 2.34; 95 % CI (1.02, 5.38)] were significantly associated with good adherence to intrapartum evidence based practice. The findings have indicated that nearly three fifths of the study participants had good adherence to intrapartum evidence-based practice. Work experience, availability of intrapartum guidelines in the work place, internet access in the hospital, gaining trainings related to intrapartum care, and using scientific journals for health information sources were factors significantly associated with adherence to intrpartum evidence-based practice. Abbreviations: AOR, Adjusted Odds Ratio; CI, Confidence Interval; COR, Crude Odds Ratio; EBP, Evidence-Based Practice; FHR, Fetal Heart Rate; SD, Standard Deviation; IV, Intra Venous; WHO, World Heath Organizations.