Student midwives’ knowledge, skills and competency in relation to the active management of the third stage of labour: A correlational study

Background: Lesotho has been experiencing health challenges as indicated by its high maternal mortality ratio of 620 per 100 000 live births for the year 2010, which has been linked to its limited human resources.Objectives: The knowledge and skills of final-year student nurse-midwives related to the active management of the third stage of labour were determined.Method: A quantitative, descriptive survey design was used to conduct this study with 99 final-year midwifery students at four nursing schools in Lesotho using stratified sampling. The structured questionnaire collected data on the knowledge and self-reported competency. Subsequently, the controlled cord traction marks, extracted from the objective structured clinical examination (OSCE), were compared to the self-reported competency of these midwifery students using R software version 3.4.0.Results: The mean score for knowledge and the OSCE was 73.8% (n = 99) and 77.2% (n = 99), respectively. The majority of respondents (95.2%, n = 99) rated themselves highly in terms of the active management of the third stage of labour competency. There was no correlation between the self-reported competency and knowledge (r = 0.08, p = 0.4402), and self-reported competency and OSCE scores (r = −0.004, p = 0.01).Conclusion: The high mean scores for the knowledge and the OSCE indicate that the theoretical component of the curriculum on the active management of the third stage of labour was effective in equipping final-year midwifery students with knowledge and skills to carry out this competency.

Download Full-text

Active management of the third stage of labour: knowledge and challenges of obstetric caregivers in selected health facilities in Fako Division, Cameroon

10.21203/rs.3.rs-957780/v1 ◽

2021 ◽

Author(s):

William Ntchompbopughu Tih ◽

Egbe Obinchemti Thomas ◽

Tendongfor Nicholas

Keyword(s):

Maternal Mortality Ratio ◽

Logistic Models ◽

Cross Sectional Study ◽

Health Facilities ◽

Active Management ◽

Good Knowledge ◽

Cross Sectional ◽

The Third ◽

Third Stage ◽

Mortality Ratio

Abstract Background: In Cameroon, the decrease in MMR (Maternal Mortality Ratio) from PPH (Postpartum Haemorrhage) despite reported use of the Active Management of the Third Stage of Labour (AMTSL) is slower than required to achieve the Third Sustainable Development Goal (SDG3) hence the need to question obstetric caregivers’ competence in AMTSL, as well as the factors hindering its proper useWe therefore aimed to assess obstetric caregivers’ knowledge about AMTSL, as well as the determinants and barriers of AMTSL in selected hospitals in Fako Division, Cameroon.Methods: This was a hospital-based cross-sectional study of 150 participants recruited in 27 health facilities in Buea, Limbe and Tiko health districts from January 15, 2020, to March 31, 2020. Participants’ socio-demographic and qualification characteristics, knowledge and challenges, and the references guiding their practice of AMTSL were collected using a structured questionnaire. AMTSL knowledge was categorized as poor or good and the determinants of good AMTSL knowledge were evaluated. The data was analyzed in SPSS version 25.0. Results: Of the 150 caregivers interviewed, only 48.7% had good knowledge of AMTSL. In logistic models, participants’ use of AMTSL increased Good knowledge of AMTSL (AOR: 12.96, CI: 1.12 -150.3, p=0.04). Unavailability of drugs and/or equipment, insufficient staff coverage and lack of knowledge and training of the staff were the major challenges reported. Conclusion: Obstetric caregivers in Fako division have knowledge gaps and face numerous challenges in AMTSL use, which could account for the consistently high MMR from PPH. Filling this knowledge gap and mitigating the challenges of these caregivers would certainly accelerate progress towards the achievement of SDG3.

Download Full-text

Assessment of knowledge and skills of GNM students regarding active management of third stage of labour

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20183800 ◽

2018 ◽

Vol 7 (9) ◽

pp. 3814

Author(s):

Deepshikha . ◽

Simarjeet Kaur ◽

Adiba Siddiqui

Keyword(s):

Sampling Technique ◽

Active Management ◽

Validity And Reliability ◽

Knowledge And Skills ◽

School Of Nursing ◽

Knowledge Questionnaire ◽

Third Stage ◽

Level Of Knowledge ◽

Christian Hospital ◽

Descriptive Survey

Background: Active management of third stage of labour is a simple and practical intervention to reduce the incidence of PPH has been identified, globally endorsed, and widely promoted for more than a decade as part of programs to reduce maternal mortality. The objective of the present study was to assess knowledge and skills of GNM students regarding Active Management of third stage of Labour in selected schools of Nursing, Haryana.Methods: A non-experimental research design with descriptive survey was carried, the study comprised of 100 GNM students selected by purposive sampling technique from M.M. School of Nursing, Mullana and School of Nursing, Christian Hospital, Jagadhri. Structured knowledge questionnaire and observational checklist was used to assess the knowledge and skills respectively. Validity and reliability of tool was established.Results: SPSS version 20 was used for statistical analysis. Majority (92%) of the GNM students had below average level of knowledge and all (100%) were incompetent to perform active management of third stage of labour.Conclusions: GNM students should be updated with the knowledge and skill in order to provide safe and qualified care. Various teaching strategies or training should be inculcated in their curriculum and integrated as necessary to achieve the goals set for maternal and newborn survival.

Download Full-text

Active management of the third stage of labor: Does the application mode of oxytocin influence the outcome?

Geburtshilfe und Frauenheilkunde ◽

10.1055/s-0036-1593226 ◽

2016 ◽

Vol 76 (10) ◽

Author(s):

S Weidlinger ◽

E Von Perbandt ◽

T Fischer ◽

R Hornung

Keyword(s):

Active Management ◽

The Third ◽

Third Stage Of Labor ◽

Third Stage ◽

Application Mode

Download Full-text

Pèlerinages barrésiens

Quêtes littéraires ◽

10.31743/ql.4612 ◽

2013 ◽

pp. 116-123

Author(s):

Claire Bompaire-Evesque

Keyword(s):

Large Scale ◽

The Self ◽

Joan Of Arc ◽

The Third ◽

National Importance ◽

The Earth ◽

Third Stage ◽

The Dead

This article is a inquiry about how Barrès (1862-1923) handles the religious rite of pilgrimage. Barrès stages in his writings three successive forms of pilgrimage, revealing what is sacred to him at different times. The pilgrimage to a museum or to the birthplace of an artist is typical for the egotism and the humanism of the young Barrès, expressed in the Cult of the Self (1888-1891). After his conversion to nationalism, Barrès tries to unite the sons of France and to instill in them a solemn reverence for “the earth and the dead” ; for that purpose he encourages in French Amities (1903) pilgrimages to historical places of national importance (battlefields; birthplace of Joan of Arc), building what Nora later called the Realms of Memory. The third stage of Barrès’ intellectual evolution is exemplified by The Sacred Hill (1913). In this book the writer celebrates the places where “the Spirit blows”, and proves open to a large scale of spiritual forces, reaching back to paganism and forward to integrative syncretism, which aims at unifying “the entire realm of the sacred”.

Download Full-text