Leslie R Carnahan1, Stacie E Geller2, Sebalda Leshabari3, Willy Sangu4, Bailey Hanselman5, Crystal L Patil5. 1. Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, IL, USA. Electronic address: lcarna2@uic.edu. 2. Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, IL, USA. 3. School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. 4. Amana Hospital, Ilala Municipality, Dar es Salaam, Tanzania. 5. Department of Women, Children and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.
Abstract
OBJECTIVE: To investigate healthcare providers' knowledge and practices associated with prevention and management of postpartum hemorrhage (PPH) to improve care in urban settings and reduce maternal morbidity and mortality. METHODS: As part of a cross-sectional, survey-based study, providers from 14 government health facilities providing maternal delivery services in the Ilala Municipality, Dar es Salaam, Tanzania, were surveyed about PPH-related practices and knowledge in April 2015. The data were analyzed descriptively, and χ2 tests of independence were used to examine relationships between experience, facility type, and knowledge. RESULTS: Among 115 respondents, 7 (6.1%) answered all PPH knowledge questions correctly. The mean knowledge score was 63.9%±21.1%. Non-calibrated methods for estimating postpartum blood loss were common; only 62 (53.9%) respondents reported direct collection. Referral of patients for PPH-related transfer was reported by 49 (42.6%) respondents; transportation and finances were barriers to transfer. Respondents requested continued training and additional supplies to address emergencies. CONCLUSION: Healthcare providers had suboptimal knowledge of PPH risk factors, diagnosis, and causes. Strategies that provide ongoing education and equip lower-level facilities with adequate supplies might minimize PPH-related transfers. Providing prenatal women with basic delivery items (e.g. a blood collection device) and misoprostol is a viable option to ensure that essential PPH-prevention tools are available at delivery. Copyright Â
OBJECTIVE: To investigate healthcare providers' knowledge and practices associated with prevention and management of postpartum hemorrhage (PPH) to improve care in urban settings and reduce maternal morbidity and mortality. METHODS: As part of a cross-sectional, survey-based study, providers from 14 government health facilities providing maternal delivery services in the Ilala Municipality, Dar es Salaam, Tanzania, were surveyed about PPH-related practices and knowledge in April 2015. The data were analyzed descriptively, and χ2 tests of independence were used to examine relationships between experience, facility type, and knowledge. RESULTS: Among 115 respondents, 7 (6.1%) answered all PPH knowledge questions correctly. The mean knowledge score was 63.9%±21.1%. Non-calibrated methods for estimating postpartum blood loss were common; only 62 (53.9%) respondents reported direct collection. Referral of patients for PPH-related transfer was reported by 49 (42.6%) respondents; transportation and finances were barriers to transfer. Respondents requested continued training and additional supplies to address emergencies. CONCLUSION: Healthcare providers had suboptimal knowledge of PPH risk factors, diagnosis, and causes. Strategies that provide ongoing education and equip lower-level facilities with adequate supplies might minimize PPH-related transfers. Providing prenatal women with basic delivery items (e.g. a blood collection device) and misoprostol is a viable option to ensure that essential PPH-prevention tools are available at delivery. Copyright Â
Authors: Devika Nadkarni; Sara Gravelyn; Monica Brova; Sarem Rashid; Randy Yee; Donovan Guttieres; Katie Clifford; Darash Desai; Muhammad Zaman Journal: BMC Health Serv Res Date: 2018-08-17 Impact factor: 2.655
Authors: Akashi Andrew Rurangirwa; Ingrid Mogren; Joseph Ntaganira; Kaymarlin Govender; Gunilla Krantz Journal: BMC Health Serv Res Date: 2018-11-19 Impact factor: 2.655