Keough School of Global Affairs, University of Notre Dame, 4035 Jenkins Nanovic Halls, Notre Dame, IN, 46556, USA.
Eck Institute for Global Health, University of Notre Dame, Notre Dame, IN, USA.
Reprod Health. 2022 Mar 28;19(1):77. doi: 10.1186/s12978-022-01376-z.
Obstetric complications remain the leading causes of maternal deaths. Since it is not always possible to ascertain which women will develop complications and which women will not, all women who have a baby should be educated about warning signs of complications. In this study, we assessed postpartum education provided by midwives, midwives' knowledge to teach patients about complications and their skills to manage postpartum complications.
Descriptive, cross-sectional study of 245 midwives in four hospitals in Tamale, Ghana, using an electronic questionnaire. Data analyzed in Stata 16 software using descriptive, bivariate, and multivariate statistics.
Majority of midwives were female (98%). Mean age of midwives was 32 years. Most midwives spent 6 to 15 min teaching patients on warning signs of complications (61.89%). Mode of discharge education was mostly individual (83.13%). Most midwives reported no reference materials given to patients (66.39%). About 93.45% of midwives strongly agreed or agreed it is their responsibility to teach all patients, regardless of risk factors, about warning signs of complications. However, midwives did not always teach patients about complications. The majority of midwives felt they were knowledgeable or very knowledgeable to teach patients about hemorrhage (95.08%), infection (94.67%), preeclampsia/ eclampsia (90.95%), and hypertension (89.35%). Similarly, most midwives felt they had the skills to manage these same four obstetric complications. Unsurprisingly, most midwives were more likely to always educate their patients about hemorrhage, infection, preeclampsia/ eclampsia, and hypertension-the complications they were more knowledgeable about. Many midwives felt not knowledgeable about and not competent to manage postpartum depression, cardiac events, pulmonary embolism, and venous thrombosis. In the same regard, many midwives did not teach patients about the life-threatening complications they were least knowledgeable about.
Midwives did not always teach patients about complications. Most midwives felt knowledgeable to teach and manage hemorrhage, infection, and preeclampsia/hypertension but not cardiac events, pulmonary embolism, and venous thrombosis. Additional training of midwives on life-threatening complications such as pulmonary embolism and cardiac events is recommended.
产科并发症仍然是导致产妇死亡的主要原因。由于无法确定哪些女性会出现并发症，哪些女性不会出现，因此所有分娩后的女性都应该接受关于并发症预警信号的教育。在这项研究中，我们评估了助产士提供的产后教育、助产士教授患者并发症的知识以及他们处理产后并发症的技能。
在加纳塔马利的四家医院进行了一项 245 名助产士的描述性、横断面研究，使用电子问卷。在 Stata 16 软件中使用描述性、双变量和多变量统计数据进行分析。
大多数助产士为女性（98%）。助产士的平均年龄为 32 岁。大多数助产士用 6 到 15 分钟向患者教授并发症的预警信号（61.89%）。出院教育的模式主要是个别辅导（83.13%）。大多数助产士报告说没有向患者提供参考资料（66.39%）。大约 93.45%的助产士强烈同意或同意，无论危险因素如何，他们都有责任向所有患者教授关于并发症预警信号的知识。然而，助产士并不总是向患者教授并发症的知识。大多数助产士认为自己有能力向患者教授关于出血（95.08%）、感染（94.67%）、子痫前期/子痫（90.95%）和高血压（89.35%）的知识。同样，大多数助产士认为自己有能力管理这四种产科并发症。毫不奇怪，大多数助产士更有可能始终向患者教育关于出血、感染、子痫前期/子痫和高血压的知识，因为他们对这些并发症的了解更多。许多助产士认为自己对产后抑郁症、心脏事件、肺栓塞和静脉血栓形成了解不足，也没有能力管理这些并发症。同样，许多助产士没有向患者教授他们最不了解的危及生命的并发症。
助产士并不总是向患者教授并发症。大多数助产士认为自己有能力教授和管理出血、感染和子痫前期/高血压，但不认为自己有能力管理心脏事件、肺栓塞和静脉血栓形成。建议对助产士进行有关肺栓塞和心脏事件等危及生命的并发症的额外培训。
