Abstract:
Background: Postpartum hemorrhage is a leading cause of maternal mortality worldwide. Aim: To
determine the competences of midwives in prevention and management of PPH at labor ward in public
hospitals. Methods: Descriptive, cross-sectional study was done among all midwives working at labor
ward in public hospitals in Sana'a city during the period from April to June 2019. The sample size was
determined using EpiCalc program. A stratified random sampling was administered to select 60
midwives. Data were collected through structured questionnaire. The questionnaire was includes: the
demographic characteristics of the midwives, knowledge on prevention of PPH, knowledge on
management of PPH, skills in handling PPH, and barriers to prevention and management of PPH. The
data were analyzed using SPSS version 20.0. x2
test was used to find out the association among
variables Approval was obtain and oral consent was obtained from midwives to participate in the
study. Results: All midwives were females, the majority (91.7%) of midwives had diploma degree.
Whereas the mean±SD of age 32.4±7.7 year, 59.1% had worked in a labour ward and 58.3% were
trained on PPH. The level of competences on prevention and management of PPH showed that (60%)
of midwives had moderate competences, (30%) had poor competences and only (10%) had good
competences. As regards to skills on handling PPH (45%) felt they needed assistance. As regards to
barriers to prevention and management PPH, (66.7%) answered uterotonic supplies were always
available. Conclusion: Sixty percent of midwives had moderate competences on prevention of PPH.
The midwives require updates/training on AMTSL to help them practice as per the guidelines of
AMTSL
