Assessment of Nurse Midwive’s Knowledge Concerning Effect of Early Timing of Umbilical Cord Clamping on Maternal and Neonatal outcomes at Delivery Rooms in Maternity Hospitals in Baghdad City.

Abstract

Background: Delaying umbilical cord clamping allows blood flow between the placenta, the umbilical cord and the baby to continue. The blood which transfers to the baby between birth and cord clamping is called placental transfusion. Placental transfusion may improve circulating volume at birth, which may in turn improve outcome for preterm infants. Early clamping allows for immediate transfer of the infant to the neonatologist. Objectives: to assess the knowledge of nurse – midwives about early timing of umbilical cord clamping, to identify the effect of early timing of umbilical cord clamping on mother and neonate, to identify the relationship between knowledge and socio-demographic variables. Methodology: A descriptive analytic design study was carried out in Baghdad Teaching Hospital, Al-Karkh Maternity Hospital, Ibn Al-Balady for Women and Children, Fatima Zahra Hospital for Women and Children, Al-Elwia Maternity Teaching Hospital, and Al-Yarmouk Teaching Hospital, the study starting from 12th November 2015 to 4th August 2016. A purposive sample consisted of (81) nurse-midwives who work in delivery room exclusively, Working in day and night shifts. The questionnaire was consisted of : Part one: General information and socio demographic data, nurse- midwives experience, training courses and time of clamping the umbilical Part two: knowledge of nurse-midwives concerning early cord clamping. Validity of the instrument was established through a panel of (13) experts, and reliability was employed through the computation of alpha correlation coefficient. Data were analyzed by using descriptive, and inferential data analysis. Result: : the results of study reveal that 71(87.6%) of nurse- midwives age are less than 50 years old, 76(93.8%) were midwifery school graduates, 64(79.0%) were married, 56(69.1%) had less than ten years of service, and 62(76.6%) had less than ten years of experiences in the delivery rooms, 67(82.7%) of Nursemidwives had hospital practicing delivery, 48(59.3%) of studied sample having training course, 35(72.9%) had short time (less than week). Time of clamping the umbilical cord, are focused at direct clamping. In the light of early clamping of the umbilical cord shows moderate response. The finding obtain no significant differences at P>0.05 between (Knowledge) concerning effect of early timing of umbilical cord clamping and demographical characteristics, as well as general information variables.