Abstract
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. The overall aim of the study was to determine midwives' factors that influence the management of PPH. 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. 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). Results of the study indicate a statistical association between midwives' factors and management of PPH.
Highlights
Background of the Study Postpartum hemorrhage (PPH) is the leading cause of maternal death yet the most preventable cause of maternal mortality
All women who carry a pregnancy beyond 20 weeks’ gestation are at risk for PPH and its Globally, maternal mortality is alarmingly decreasing, but in developing countries, especially Subharan Africa maternal death is caused by Hemorrhage due to infrastructure limitation, lack of skilled birth attendants, and inappropriate management of active third stage of labour
Are as a result of hemorrhage and 15% of the bleeding occurs during the postpartum period 5
Summary
Background of the Study Postpartum hemorrhage (PPH) is the leading cause of maternal death yet the most preventable cause of maternal mortality. 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 mortality. Objective: The overall aim of the study was to determine midwives’ factors that influence the management of PPH. Results: The following factors were statistically significant in influencing management of postpartum hemorrhage; age (P-value = 0.021). Conclusion: Results of the study indicate a statistical association between midwives’ factors and management of PPH. Factors that influence management of postpartum hemorrhage among midwives in a rural setting in Kenya.
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