Performance of Integrated Emergency Surgical Officers at Mizan-Tepi University Teaching Hospital, Mizan-Aman, Ethiopia: A Retrospective Cohort Study
Introduction. Surgical physician extenders are used in Ethiopia and sub-Saharan Africa where there is a lack of surgical providers. Methods. We tested characteristics associated with and outcomes of births attended by an integrated emergency surgical officers (IESOs) as compared to midwives and phys...
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| Format: | Article |
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Wiley
2021-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2021/8875560 |
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| author | Margo S. Harrison Ephrem Kirub Tewodros Liyew Biruk Teshome Andrea Jimenez-Zambrano Margaret Muldrow Teklemariam Yarinbab |
| author_facet | Margo S. Harrison Ephrem Kirub Tewodros Liyew Biruk Teshome Andrea Jimenez-Zambrano Margaret Muldrow Teklemariam Yarinbab |
| author_sort | Margo S. Harrison |
| collection | DOAJ |
| description | Introduction. Surgical physician extenders are used in Ethiopia and sub-Saharan Africa where there is a lack of surgical providers. Methods. We tested characteristics associated with and outcomes of births attended by an integrated emergency surgical officers (IESOs) as compared to midwives and physician providers. Results. Of 1,000 women in our convenience sample, data on birth attendant was missing on 5 women (0.5%). Of the remaining women, almost three-fourths (73.6%, n = 732) of women were attended by a midwife, almost a quarter were attended by an IESO (24.4%, n = 243), 10 women were attended by a physician with a General Practitioner level of training (1.0%), 5 women were delivered by an Ob/Gyn resident (0.5%), and 5 women were attended by an Ob/Gyn (0.5%). Women had a higher likelihood of being attended by an IESO than a midwife if they underwent forceps-assisted (RR 88.4, p<0.05), vacuum-assisted (RR 45.2, p<0.05), or cesarean birth (RR 161.8, p<0.05) as compared to an unassisted vaginal birth. IESOs are performing more operative vaginal and cesarean births than other delivery providers. Outcomes of their deliveries are worse than those of midwives, but this is likely due to the acuity level of the patients and not the provider type. |
| format | Article |
| id | doaj-art-d99082100df749049e8d7d1338597e17 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
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| series | Obstetrics and Gynecology International |
| spelling | doaj-art-d99082100df749049e8d7d1338597e172025-02-03T01:24:13ZengWileyObstetrics and Gynecology International1687-95891687-95972021-01-01202110.1155/2021/88755608875560Performance of Integrated Emergency Surgical Officers at Mizan-Tepi University Teaching Hospital, Mizan-Aman, Ethiopia: A Retrospective Cohort StudyMargo S. Harrison0Ephrem Kirub1Tewodros Liyew2Biruk Teshome3Andrea Jimenez-Zambrano4Margaret Muldrow5Teklemariam Yarinbab6University of Colorado School of Medicine, Aurora, Colorado, USAMizan-Tepi University Department of Public Health, Mizan-Aman, EthiopiaMizan-Tepi University Department of Public Health, Mizan-Aman, EthiopiaMizan-Tepi University Department of Public Health, Mizan-Aman, EthiopiaUniversity of Colorado School of Medicine, Aurora, Colorado, USAVillage Health Partnership, Denver, Colorado, USAMizan-Tepi University Department of Public Health, Mizan-Aman, EthiopiaIntroduction. Surgical physician extenders are used in Ethiopia and sub-Saharan Africa where there is a lack of surgical providers. Methods. We tested characteristics associated with and outcomes of births attended by an integrated emergency surgical officers (IESOs) as compared to midwives and physician providers. Results. Of 1,000 women in our convenience sample, data on birth attendant was missing on 5 women (0.5%). Of the remaining women, almost three-fourths (73.6%, n = 732) of women were attended by a midwife, almost a quarter were attended by an IESO (24.4%, n = 243), 10 women were attended by a physician with a General Practitioner level of training (1.0%), 5 women were delivered by an Ob/Gyn resident (0.5%), and 5 women were attended by an Ob/Gyn (0.5%). Women had a higher likelihood of being attended by an IESO than a midwife if they underwent forceps-assisted (RR 88.4, p<0.05), vacuum-assisted (RR 45.2, p<0.05), or cesarean birth (RR 161.8, p<0.05) as compared to an unassisted vaginal birth. IESOs are performing more operative vaginal and cesarean births than other delivery providers. Outcomes of their deliveries are worse than those of midwives, but this is likely due to the acuity level of the patients and not the provider type.http://dx.doi.org/10.1155/2021/8875560 |
| spellingShingle | Margo S. Harrison Ephrem Kirub Tewodros Liyew Biruk Teshome Andrea Jimenez-Zambrano Margaret Muldrow Teklemariam Yarinbab Performance of Integrated Emergency Surgical Officers at Mizan-Tepi University Teaching Hospital, Mizan-Aman, Ethiopia: A Retrospective Cohort Study Obstetrics and Gynecology International |
| title | Performance of Integrated Emergency Surgical Officers at Mizan-Tepi University Teaching Hospital, Mizan-Aman, Ethiopia: A Retrospective Cohort Study |
| title_full | Performance of Integrated Emergency Surgical Officers at Mizan-Tepi University Teaching Hospital, Mizan-Aman, Ethiopia: A Retrospective Cohort Study |
| title_fullStr | Performance of Integrated Emergency Surgical Officers at Mizan-Tepi University Teaching Hospital, Mizan-Aman, Ethiopia: A Retrospective Cohort Study |
| title_full_unstemmed | Performance of Integrated Emergency Surgical Officers at Mizan-Tepi University Teaching Hospital, Mizan-Aman, Ethiopia: A Retrospective Cohort Study |
| title_short | Performance of Integrated Emergency Surgical Officers at Mizan-Tepi University Teaching Hospital, Mizan-Aman, Ethiopia: A Retrospective Cohort Study |
| title_sort | performance of integrated emergency surgical officers at mizan tepi university teaching hospital mizan aman ethiopia a retrospective cohort study |
| url | http://dx.doi.org/10.1155/2021/8875560 |
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