Need Assessment for Obstetrical Emergency Care Training: A Phenomenological Approach

Abstract

Introduction: Obstetrical emergencies are unanticipated and occur infrequently but has potential life-threatening complications if not managed on time. Methodology: Qualitative study was conducted among health professionals with the aim to analyze need for training of Midwifery students in obstetrical emergency. A purposive sampling technique was used to select 25 participants and the data was collected through Google forms on Background variables and open-ended questions on obstetrical emergencies. Results: The findings of the study revealed that training is needed in Obstetrical emergencies such as Eclampsia and antepartum haemorrhage (60%), cord prolapse (52%), prolonged/obstructed labour (44%) and Postpartum haemorrhage (100%). About 68% of the participants preferred simulation training as an effective method of teaching and learning obstetrical emergencies. The data were analyzed by conventional content analysis approach. Two main themes were framed like “staff preparedness” and “Organizational factors” with eight sub themes as follows hands on training, Poor exposure to critical condition, situational chaos, clinical emotional dexterity, Decision to care time, lack of assistance, facilities, communication, and leadership. Conclusion: Skill training is essential for midwives in managing obstetrical emergencies like eclampsia, antepartum haemorrhage, cord prolapse, prolonged labour and PPH and simulation-based learning is an ideal method for acquiring these vital skills and knowledge.