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. 2016 Jun 14:21:42.
doi: 10.4103/1735-1995.183991. eCollection 2016.

Normal birth in Kazakhstan: Labor management practice in accordance with World Health Organization's recommendations

Aizhan D Kyzayeva  1 , Aigul B Kudamanova  2
Affiliations

Normal birth in Kazakhstan: Labor management practice in accordance with World Health Organization's recommendations

Aizhan D Kyzayeva et al. J Res Med Sci. .

Abstract

Background: Over the last 10 years, the evidential practice has been developing in Kazakhstan. The clinical protocols of diagnostics and treatment were implemented in the country since 2007. We analyzed the normal birth practice in Kazakhstan.

Materials and methods: Obstetricians and midwives were subject to the questionnaire survey in four large Maternity Hospitals of Almaty.

Results: Totally, 72 midwives and 50 obstetricians took part in the questionnaire survey. 4% of physicians indicated the regular use of enema, 11.1% of midwives and 24% of physicians - the shaving of the pubis, and the regular use of amniotomy was noted by 12% of physicians and 41.7% of midwives. At the second stage, the application of the Kristeller's method was noted by 8% of physicians and 11.1% of midwives.

Conclusion: The noncompliance of the normal birth surveillance in Kazakhstan with the WHO's recommendations appears in the usage of routine methods at the first stage and of the Kristeller's method at the second stage of normal birth.

Keywords: Intranatal care; Kazakhstan; World Health Organization; normal birth; obstetrics; recommendations.

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Figures

Figure 1
Figure 1
Distribution of answers given by physicians to the question about the labor surveillance at the first stage
Figure 2
Figure 2
Distribution of answers given by midwives to the question about the labor surveillance at the first stage.
Figure 3
Figure 3
Distribution of answers given by physicians to the question about the labor surveillance at the second stage, %
Figure 4
Figure 4
Distribution of answers given by midwives to the question about the labor surveillance at the second stage, %
See this image and copyright information in PMC

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