Factors That Influence Management of Postpartum Hemorrhage Among Midwives in a Rural Setting in Kenya
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Date
2021
Authors
Muthoni, Doris Mumbi
Kabue, Priscilla Njeri
Ambani, Elizabeth Kurwa
Journal Title
Journal ISSN
Volume Title
Publisher
AJOL
Abstract
Background: Postpartum hemorrhage is the cumulative blood loss of 500 milliliters or more in a spontaneous vaginal
delivery and approximately 1,000 milliliters or more for caesarean section birth and a leading cause of maternal mortality1.
Objective: The overall aim of the study was to determine midwives’ factors that influence the management of PPH.
Methods: A descriptive cross-sectional study that employed a quantitative approach through the use of a research self- administered
questionnaire and an observational checklist targeting midwives were used. 85 midwives filled the questionnaire
and 71 were observed respectively. The study was hospital- based conducted in Muranga County, Kenya. Convenience sampling
technique was used to select the midwives in the study sites.
Results: The following factors were statistically significant in influencing management of postpartum hemorrhage; age
(P-value = 0.021). professional qualification ( P= 0.047), experience in management of PPH ( P= 0.032) and training on
emergency PPH ( P= 0.010), knowledge factors that were found to influence the management of PPH positively include
knowledge on; prevention of PPH (p value-0.000), correct use of prophylactic uterotonic agents ( P= 0.000), uterotonics use
( P= 0.043), uterine massage during 3rd stage of labour ( P= 0.012), examination of the placenta ( P= 0.034), management
of PPH (P= 0.028), causes and diagnosis of PPH ( P= 0.001), (Fischer’s exact value= 0.043).
Conclusion: Results of the study indicate a statistical association between midwives’ factors and management of PPH.
Keywords: Midwifery factors; management of postpartum haemorrhage.
Description
An Article Published in African Health Sciences
Keywords
Midwifery factors, Management of postpartum haemorrhage
Citation
Muthoni DM, Kabue PN, Ambani EK. Factors that influence management of postpartum hemorrhage among midwives in a rural setting in Kenya. Afri Health Sci. 2021;21(1):304-10. https://dx.doi.org/10.4314/ahs.v21i1.39