Competences of Midwives in Prevention and Management of Postpartum Hemorrhage at Public Hospitals, Sana'a City

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