Knowledge, attitudes, and practices related to uterotonic drugs during childbirth in Karnataka, India: a qualitative research study.

摘要: Background and Objectives India has the highest annual number of maternal deaths any country. As obstetric hemorrhage is leading cause death in India, numerous efforts are under way to promote access skilled attendance at birth emergency care. Current initiatives also seek increase active management third stage labor for postpartum prevention, particularly through administration an uterotonic after delivery. However, prior research suggests widespread inappropriate use uterotonics facilities communities–for example, without adequate monitoring or referral support complications. This qualitative study aimed document health providers’ community members’ current knowledge, attitudes, practices regarding during delivery India’s Karnataka state. Methods 140 in-depth interviews were conducted from June August 2011 Bagalkot Hassan districts with physicians, nurses, recently delivered women, mothers-in-law, traditional attendants (dais), unlicensed village doctors, chemists (pharmacists). Results Many respondents reported uterotonics, oxytocin, augmentation both facility-based home-based deliveries. The identified contextual factors that use, including high value placed on pain labor; perceived pressure provide receive early delivery, perhaps despite awareness risks; lack consistent correct knowledge safe storage, dosing, oxytocin. Conclusions These findings have significant implications public programs a context potentially increasing availability uterotonics. Among other responses, needed improve communication between members providers target training interventions address gaps ensure pharmacists up-to-date information proper usage drugs.