Table 3 Identification of barriers to implementing universal umbilical artery lactate analysis pre and post training (the influence of clinical role)
Barrier | Pre training | p-value | Post training | p-value | ||
|---|---|---|---|---|---|---|
Midwife n (%) | Doctor n (%) | Midwife n (%) | Doctor n (%) | |||
Expense | 9 (69.2) | 6 (100) | 0.255 | 5 (100) | 5 (83.3) | 1 |
Insufficient time following delivery | 13 (72.2) | 4 (50) | 0.382 | 7 (77.8) | 0 (0) | 0.003 |
Increased workload on medical or midwifery staff | 15 (75) | 7 (63.6) | 0.683 | 5 (50) | 2 (25) | 0.367 |
Lack of necessary equipment | 16 (80) | 6 (46.2) | 0.065 | 6 (85.7) | 4 (57.1) | 0.559 |
Lack of necessary expertise | 14 (82.4) | 6 (50) | 0.106 | 6 (85.7) | 0 (0) | 0.005 |
Encroachment of technology in to the birth process | 11 (73.3) | 0 (0) | 0.001 | 8 (88.9) | 0 (0) | <0.001 |
Decreased patient contact time | 10 (55.6) | 0 (0) | 0.004 | 5 (45.5) | 0 (0) | 0.038 |