El Salvador - Active Management of the Third Stage of Labor - POPPHI

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AMTSL purposesOxytocin IM 44.2 84Oxytocin, by any means among inductions 3.7 7Oxytocin, by any means among augmentations 9.5 18Incorrect administration 2.6 5Not used 40.0 76Correct dose of oxytocin for AMTSL48.9 93purposes(31.0, 67.5)10 IU for oxytocin 49.2 93Incorrect dose 10.9 21Not used 40.0 76Administration of oxytocin at correct stage of 44.8 85labor(26.2,65.0)After delivery of the baby 44.8 85During delivery of the baby 1.2 2After delivery of the placenta 14.0 27Not used 40.0 76Timing in which oxytocin was administered≤1 minute 14.1(7.4, 25.2)>1 and 1 and
(38 versus 30 percent, and these differences are not statistically significant). However, deliveriesin facilities that provided AMTSL training for nurses were significantly more likely to showcorrect use of AMTSL than those from facilities without such training (42 versus 16 percent).However, one should remember that nurses were only responsible for attending 2 percent ofdeliveries in this sample. High parity women (women with four or more births) show higherpercentages of correct use of oxytocin than lower parity women, and these differences arestatistically significant.Table 4.3. Percent distribution of observed deliveries by use of oxytocin for AMTSLpurposes and by characteristics of the facility and woman% Correctuse ofoxytocin(≤3min)Use of Oxytocin for AMTSL purposes% of deliveries% Incorrect % No Total n of p valueCharacteristicuse use % deliveriesTotal 35.3 24.7 40.0 100.0 190Region 0.0023Metropolitan 0.0 0.0 100.0 100.0 29Oriental 53.8 40.0 6.2 100.0 60Occidental 50.7 8.3 41.0 100.0 48Central 42.9 18.4 38.7 100.0 24Paracentral 0.00 51.1 48.9 100.0 28Type of facility 0.0590Central Referral 0.0 0.0 100.0 100.0 4Regional 85.1 14.9 0.0 100.0 33District 25.8 27.5 46.7 100.0 153Annual number of0.0003deliveries
Page 1 and 2: ActiveManagementof the ThirdStage o
Page 3: Federation of Gynecology and Obstet
Page 6 and 7: AcronymsAMTSLActive management of t
Page 8 and 9: palpation to assess the need for co
Page 10 and 11: 1. BackgroundPostpartum hemorrhage
Page 12 and 13: Supplies and logisticsThe sufficien
Page 14 and 15: 2. MethodsThis study is part of a m
Page 16 and 17: Data entry and analysisThe study te
Page 18: Table 3.1. Availability and storage
Page 21 and 22: ased on current consumption of oxyt
Page 23 and 24: 4. Findings regarding the managemen
Page 25: delivery of the placenta, followed
Page 29 and 30: With massage immediately after deli
Page 31 and 32: Duration of the third stage of labo
Page 33 and 34: 5. Conclusions and recommendationsT
Page 35 and 36: definition described in the clinica

El Salvador - Active Management of the Third Stage of Labor - POPPHI

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