Background: Even though Evidence-Based Practice (EBP) is a key component of quality of intrapartum care and links to improved health care outcomes, consistent application of EBP in patient care remains a challenge for health care providers. Therefore, it is crucial to identify the gaps between evidence-based care and actual intrapartum practice in order to improve maternal and neonatal outcomes at birth. In the study area, there are no previous studies conducted on evidence-based intrapartum care practice among obstetric care providers. Hence, this study was aimed to assess the magnitude of evidence based intra-partum care practice and its associated factors among obstetric care providers working in hospitals of Wollega zones, Oromia, Ethiopia, 2022. Method: An institution-based cross-sectional study design using quantitative method was conducted from January to April/2022 in 11 hospitals of the four Wollega zones. All obstetric care providers (278) who were practicing intrapartum care in the selected hospitals were included. The data was collected using structured self-administered questionnaire and paper-based observational checklist. Data was entered via Epi-Data version 3.1 and analyzed by SPSS version 25 statistical software. To see the association between the independent variables and evidence based intrapartum care practice, multivariable logistic regression analysis was done. Adjusted odds ratios (OR) with their 95% Confidence interval were reported. The statistical significance of association was declared at p-value ≤ 0.05. Tables, figures and charts were also used in descriptive statistics. Result: The overall magnitude of evidence-based intrapartum care practice was found to be 63.7% [95% CI (59.7, 67.7)]. There was a statistically significant association between evidence-based intrapartum care practice and Having good knowledge about intrapartum care practice [AOR=2.95; 95% CI (1.52,5.73)], positive attitude towards intrapartum care practice [AOR=3.13; 95% CI (1.59,6.16)], availability of updated intrapartum care guideline [AOR=2.88; 95% CI (1.46,5.70)], Number of obstetric care providers per a shift (≥5 care providers) [AOR=2.31; 95% CI (1.01,5.29)], Number of deliveries within a day (<10 deliveries) [AOR=4.61; 95% CI (2.28,9.31)], Educational level ( MSc and above) [AOR=5.75; 95% CI (2.23,14.84)] at p-value ≤ 0.05. Conclusion: Our study revealed that magnitude of evidence-based intrapartum care practice was found to be low according to the WHO recommendation. We also identified non-recommended practices were frequently practiced and recommended practices were underperformed which is inconsistent with WHO recommendations. These findings indicate that additional attention and monitoring is required to implement current intrapartum care practices with the WHO guidelines.

The authors have declared no competing interest.

The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Ethical clearance and approval were obtained from the Wollega University research ethical review committee (WURERC), Institute of Health Science, Department of Nursing

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The original data for this study are available from the corresponding author upon reasonable request.