article · BioMed Research International
Postpartum haemorrhage is a leading cause of maternal mortality, primarily driven by uterine atony, yet its occurrence can be reduced by 60 percent through the active management of the third stage of labour. This study assessed the knowledge, practice, and associated factors regarding this clinical protocol among 278 midwives in governmental health institutions across the Tigray region. Findings revealed that 61.2 percent of participants demonstrated good knowledge, while only 43.5 percent demonstrated good clinical practice. Receiving dedicated training and existing practice levels were significantly associated with higher knowledge. Furthermore, educational attainment, specific training, and sound knowledge were strongly linked to proper clinical practice. These results indicate that routine practice lags behind clinical understanding, highlighting a pressing need for institutional training programmes and educational upgrading to ensure midwives consistently apply life-saving labour management protocols.
Severe bleeding after childbirth accounts for more than a quarter of all maternal deaths globally. Active management during the third stage of labour prevents the majority of these fatalities, but only when healthcare providers perform it correctly. Identifying gaps in midwife education and skills directly informs health authorities on how to reduce preventable maternal deaths through focused professional training.
The abstract does not indicate a commercialisation pathway, as it focuses on clinical practice evaluation and public health training needs rather than a product or commercial service.
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INTRODUCTION: Globally, postpartum hemorrhage is the most common cause of maternal mortality and morbidity, and it accounts for more than 25% of all maternal deaths. The majority of death due to postpartum hemorrhage is caused by uterine atony. Routine and correct usage of active management of the third stage of labor decreases the occurrence of postpartum hemorrhage by 60% when compared to expectant management of the third stage of labor. The purpose of this study was to assess midwife knowledge, practice, and associated factors towards active management of the third stage of labor at governmental health institutions in the Tigray region, 2018. RESULTS: = 278), 170 (61.2%) were good in knowledge and 121 (43.5%) were good in practice towards active management of the third stage of labor. Training related to active management of the third stage of labor (AOR = 2.119, 95%CI = 1.141, 3.3937) and practice level of midwives (AOR = 8.089, 95%CI = 4.103, 15.950) became significantly associated with the knowledge level. The educational level of midwives (AOR = 3.811, 95%CI = 2.015, 7.210), training related to active management of the third stage of labor (AOR = 2.591, 95%CI = 1.424, 4.714), and knowledge level of midwives towards active management of the third stage of labor (AOR = 7.324, 95%CI = 3.739, 14.393) were significantly associated with the practice level. This study showed that training related to active management of the third stage of labor was significantly associated with the knowledge and practice level of midwives. The educational level and knowledge level of midwives were significantly associated with the practice level of midwives towards active management of the third stage of labor. Therefore, midwives should update their academic level and knowledge. Health institutions in collaboration with the Tigray Regional Health Bureau should arrange training for all midwives to bring change.
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DOI: 10.1155/2020/8547040
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