Aurelien Pekezou Tchoffo
Dr Aurelien Pekezou Tchoffo
I’m Medical Doctor, Cameroonian, have been working for 4 years as GP in the Catholic Medical Heath Centre of Bali Nyonga in the North West
Research to practice
TOPIC: Practice of the active management of third stage labor (AMTSL) among skilled attendant to woman in the North West Cameroon.
“Evidence-base reproductive health care in Cameroon: Population-base study of awareness, use and barriers” a study done in February 2004 by Alan TN TITA and Call, published in the Bulletin of the WHO Vol 83:2005 no 12 Dec 2005 881-968 was estimated ”the awareness and use of evidence-based reproductive health interventions and to describe the barriers associated with the use of evidence-based interventions among health providers in north-west Cameroon”. Among the four vital intervention which were also evaluated they were the active management of placenta delivery with uterotonic. “Only 50/322 (15.5%; 95% confidence interval (CI) = 11.8–20.0) of health workers were aware of all four vital interventions, and only 12/312 (3.8%; 95% CI = 2.0– 6.6) reported using all of them regularly. A deficiency in the education and training of health workers, especially a lack of continuing education, was commonly identified as the most important barrier to their awareness of evidence based practices. A lack of awareness and a lack of supplies and materials were the main barriers to practice”.
Clinical research has showed the efficacy of the active management of the third stage of labor by reducing by 2 the number of the maternal dead in the first hours after delivery . For the achievement of the MDGs by decreasing the 5th goal, WHO in 2006 has strongly recommended the routine management of the 3th stage of labor and the management of complication(uterus atoni and retained placenta) to prevent postpartum blood loss but the prevalence still high especially in developing countries.
Edited by Aldo Campana,