Adams Yenupini Joyce, Ray Herman E, Sladek Lynn, Amason Janeen
Eck Institute for Global Health, University of Notre Dame, 915 Flanner Hall, Notre Dame, IN 46556, USA.
Analytics and Data Science Institute and Department of Statistics and Analytical Sciences, Kennesaw State University, Kennesaw, Georgia.
Midwifery. 2023 Jun;121:103654. doi: 10.1016/j.midw.2023.103654. Epub 2023 Mar 17.
Midwives are instrumental in improving maternal/newborn health outcomes. Since complications after childbirth are leading causes of maternal deaths, midwives' knowledge of how to manage complications and care for the newborn is important. This study assessed midwives' knowledge of immediate newborn care and management of postpartum complications.
A cross-sectional descriptive survey design was used.
Four hospitals that provide inpatient maternity services in Tamale, Ghana.
245 midwives who worked in the four hospitals.
Data were collected in December 2018 using an electronic survey questionnaire by the Johns Hopkins Program for International Education in Gynecology and Obstetrics, and analyzed using descriptive, bivariate, and multivariate statistics.
About 98% of midwives were female. The mean age of midwives was 31.87 years. The percentage of midwives who responded correctly to questions on newborn care and management of postpartum complications ranged from 29.80% to 89.39%, and 32.17% to 91.43% respectively. Midwives were most knowledgeable about breastfeeding and immediate hemorrhage intervention, and least knowledgeable about cord care, thermal protection, newborn resuscitation, contraindications for vacuum extraction, treating metritis, and performing a cervical repair. Years of experience and age are predictive factors of midwives' knowledge.
CONCLUSION/IMPLICATIONS: There remains the opportunity for continuing education on complication management. Additional training of midwives on newborn resuscitation is recommended.
助产士在改善孕产妇/新生儿健康结局方面发挥着重要作用。由于分娩后并发症是孕产妇死亡的主要原因，助产士掌握如何处理并发症及照顾新生儿的知识至关重要。本研究评估了助产士对新生儿即时护理及产后并发症处理的知识水平。
采用横断面描述性调查设计。
加纳塔马利提供住院产科服务的四家医院。
在这四家医院工作的245名助产士。
2018年12月，由约翰霍普金斯妇产科国际教育项目通过电子调查问卷收集数据，并使用描述性、双变量和多变量统计方法进行分析。
约98%的助产士为女性。助产士的平均年龄为31.87岁。对新生儿护理及产后并发症处理问题回答正确的助产士比例分别为29.80%至89.39%和32.17%至91.43%。助产士对母乳喂养和即时出血干预了解最多，对脐带护理、体温保护、新生儿复苏、真空吸引术的禁忌证、治疗子宫炎及进行宫颈修复了解最少。工作年限和年龄是助产士知识水平的预测因素。
结论/启示：在并发症管理方面仍有继续教育的机会。建议对助产士进行新生儿复苏方面更多的培训。
