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Teaching guatemala midwives about postpartum hemorrhage.
Kimberly Garcia1, Fellow Barbara Morrison, Carol Savrin
1Bradford Regional Medical Center, Bradford, PA, USA. ksg11@case.edu
Culturally sensitive training significantly improved traditional midwives' knowledge and skills in managing postpartum hemorrhage (PPH). This oral teaching approach is effective for illiterate audiences in resource-poor settings.
Area of Science:
- Maternal Health
- Nursing Education
- Global Health
Background:
- Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality globally.
- Traditional midwives play a crucial role in maternal care, particularly in resource-poor settings.
- There is a need for effective, culturally relevant education to enhance their management of PPH.
Purpose of the Study:
- To assess the impact of a culturally sensitive teaching intervention on traditional midwives' knowledge of PPH prevention and treatment.
- To evaluate the effectiveness of nursing interventions for PPH management.
Main Methods:
- A quasi-experimental, one-group pretest-posttest design was employed.
- Thirteen traditional midwives in Sarstun, Guatemala, participated in a 1-day training program.
- The American College of Nurse Midwives (ACNM) PPH Behavioral Checklist assessed knowledge before and after the intervention.
Main Results:
- Knowledge scores regarding PPH interventions significantly increased post-training (M=1.385/8 to M=4.846/8).
- The culturally sensitive teaching enhanced both knowledge and skills in managing PPH.
- The intervention demonstrated a positive effect on participants' understanding and abilities.
Conclusions:
- Culturally sensitive, oral teaching in the primary language positively impacts traditional midwives' PPH management knowledge and skills.
- This educational format is suitable for illiterate audiences in resource-limited environments.
- Future training initiatives should adopt similar culturally tailored approaches.
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