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Midwives in India: a delayed cord clamping intervention using simulation.

M A Faucher1, C Riley1, L Prater1

  • 1Louise Herrington School of Nursing, Baylor University, Dallas, TX, USA.

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|March 13, 2016
PubMed
Summary
This summary is machine-generated.

Delayed umbilical cord clamping significantly improved midwives' knowledge, beliefs, and practices regarding infant iron levels in India. This educational intervention highlights the effectiveness of simulation in promoting evidence-based practices for maternal and child health.

Keywords:
AnaemiaBirthCapacity BuildingDelayed Cord ClampingEvidence-Based PracticeIndiaKnowledge to ActionMaternal Child HealthMidwiferyNursing Capacity BuildingPolicy ImplementationSimulation

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Area of Science:

  • Maternal and Child Health
  • Nursing Education
  • Evidence-Based Practice Implementation

Background:

  • Iron deficiency is a significant health concern in India, particularly affecting women and newborns.
  • Delayed umbilical cord clamping (DCC) is a proven method to enhance infant serum iron levels for up to six months post-birth.

Purpose of the Study:

  • To enhance the adoption of delayed umbilical cord clamping (DCC) among midwives in Hyderabad, India.
  • To evaluate the impact of an educational intervention on midwives' knowledge, beliefs, and practices concerning DCC.

Main Methods:

  • A pre- and post-test design was employed to assess changes following the intervention.
  • The intervention comprised lectures and simulation-based training, with a 10-month follow-up.
  • Knowledge, beliefs, and reported practices regarding DCC were evaluated.

Main Results:

  • Significant improvements were observed in midwives' knowledge and positive beliefs about DCC.
  • Simulation effectively facilitated feedback and learning, contributing to practice change.
  • The intervention led to a notable increase in the utilization of DCC.

Conclusions:

  • The educational intervention, utilizing the Knowledge to Action framework and simulation, successfully improved midwives' knowledge, beliefs, and practices related to DCC.
  • Integrating simulation with institutional policy changes can drive significant practice adoption.
  • Further qualitative research is recommended to understand cultural influences on decision-making for practice change in this setting.