Implementation of active management of the third period of childbirth for the prevention of immediate post-partum bleeding in four regional maternity hospitals of Conakry, Guinea

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dc.contributor.authorBalde, Ousmaneen_US
dc.contributor.authorBalde, Ibrahima S.en_US
dc.contributor.authorSylla, Ibrahimaen_US
dc.contributor.authorDiallo, Fatoumata B.en_US
dc.contributor.authorSow, Alhassane II.en_US
dc.contributor.authorHaidara, Sidi M.en_US
dc.date.accessioned2020-10-16T08:07:08Z
dc.date.available2020-10-16T08:07:08Z
dc.date.issued2020-09
dc.description.abstractBackground: The objective of this study was to determine the frequency, skills level of health care service providers; to identify complications and difficulties related to the implementation of AMTPC/GATPA.Methods: It was about prospective study, descriptive of 6 months (1st March to 31st August 2014) carried out in the maternity hospitals of Faranah, Kindia, Mamou and Nzérékoré. It concerned the parturient women who had recently given birth and the personnel that carried out AMTPC/GATPA in these hospitals.Results: During the study period of 1,254 out of 1,305 births had benefited of AMTPC/GATPA, a frequency of 96.1%. The midwives were the most represented personnel in the implementation of GATPA (44.1%). In 46.4% of the cases, the health care service providers acquired this competence from the initial training. The release was obtained in the first trial in 64.9% cases. The duration of implementation of GATPA was less than 5 minutes in 72.6% cases. The different stages were respected in 91.5% cases. Complications were dominated by retention of placental fragments (10.2%). Lack of oxytocin was the main difficulty (36.6%).Conclusions: The sustainability of this achievement would depend on the systematic and correct implementation of AMTPC/GATPA at all childbirth attendants and the effective management of oxytocin.en_US
dc.identifier.affiliationsService Maternite Hospital National, Donka Conakry Guineaen_US
dc.identifier.affiliationsService Maternite Hospital National, Ignace Deen/University Gamal Abdel Nasser, Conakry Guineaen_US
dc.identifier.affiliationsService Maternite Hospital National, Ignace Deen, Conakry Guineaen_US
dc.identifier.affiliationsService Maternite Hospital Regional Labe, Conakry Guineaen_US
dc.identifier.affiliationsService Maternite Hospital Regional Kindia, Conakry Guineaen_US
dc.identifier.citationBalde Ousmane, Balde Ibrahima S., Sylla Ibrahima, Diallo Fatoumata B., Sow Alhassane II., Haidara Sidi M.. Implementation of active management of the third period of childbirth for the prevention of immediate post-partum bleeding in four regional maternity hospitals of Conakry, Guinea. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Sep; 9(9): 3563-3568en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/208038
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber9en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20203828en_US
dc.subjectAMTPC/GATPAen_US
dc.subjectGuineaen_US
dc.subjectImplementationen_US
dc.subjectMaternitiesen_US
dc.titleImplementation of active management of the third period of childbirth for the prevention of immediate post-partum bleeding in four regional maternity hospitals of Conakry, Guineaen_US
dc.typeJournal Articleen_US
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