2.4. Data Collection Method

Data was collected using a pretested, interviewer-administered, semistructured questionnaire. This tool was developed from similar studies conducted in a different part of the world [17, 20–27]. The questionnaire was primarily developed in English, translated into Amharic (local language), then translated back to English and rechecked by the third person, to ensure its correctness and consistency. The interview questionnaire consisted of four key items: sociodemographic characteristics of participants, labor- and delivery-related factors, and maternal- and fetal-related variables. Fetal gestation and weight were collected from the maternal follow-up sheet.

Seven BSc midwives who had experience in data collection were selected for data collection and three MSC midwifery students supervised the data collection. All data collectors were responsible for observing respondents starting from the commencement of the active first stage of labor to the occurrence of the outcome. Then, the secondary data extraction follows until the patient has had a stable vital sign and her medical condition has been confirmed for interview by a duty physician. Then, the interview was conducted in a place where the mother's privacy and comfort could be kept. All interviews were conducted in the local language. The data collectors were supervised by MSC midwifery students based on hospital ward rotation. The data collectors were scheduled in every shift to collect data from the admission of parturient to the end of the first two hours after childbirth through an interview, observation, and delivery records. The data collectors used a unique numeric identifier to track the mothers' card back during data extraction. They were instructed to put this code on each questionnaire's front page. Each time during the data collection phase, between 5:00 and 5: 30 pm, we had a regular meeting to discuss challenges. Then, the research was notified right away to make a solution for the next day. The interviews ranged from 10 to 15 min per participant. All study subjects were permitted to be interviewed.