Evidence map›Paper›PMID 40510761›Full record

ArticleAJOG global reports2025

Assessments of midwives' knowledge and practice toward postpartum hemorrhage management and associated factors at selected public hospitals in Addis Ababa, Ethiopia, 2023.

Ashenu Bidiru, Heyria Hussein, Tola Getachew Bekele, Tilahun Teshager, Fenta Wondimneh, Indeshaw Ketema, Beyene Feleke, Lema Daba, Merga Shelema

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Article in AJOG global reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ashenu BidiruDepartment of Emergency and Critical Care Nursing, School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia (Bidiru, Teshager, Wondimneh, Ketema, Feleke, and Daba).
Heyria HusseinDepartment of Emergency Medicine and Critical Care nursing, School of Medicine, College of Health and Medical Science, Addis Ababa University, Addis Ababa, Ethiopia (Hussein).
Tola Getachew BekeleDepartement of Nursing, Jimma University Medical Center, Jimma, Ethiopia (Getachew).
Tilahun TeshagerDepartment of Emergency and Critical Care Nursing, School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia (Bidiru, Teshager, Wondimneh, Ketema, Feleke, and Daba).
Fenta WondimnehDepartment of Emergency and Critical Care Nursing, School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia (Bidiru, Teshager, Wondimneh, Ketema, Feleke, and Daba).
Indeshaw KetemaDepartment of Emergency and Critical Care Nursing, School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia (Bidiru, Teshager, Wondimneh, Ketema, Feleke, and Daba).
Beyene FelekeDepartment of Emergency and Critical Care Nursing, School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia (Bidiru, Teshager, Wondimneh, Ketema, Feleke, and Daba).
Lema DabaDepartment of Emergency and Critical Care Nursing, School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia (Bidiru, Teshager, Wondimneh, Ketema, Feleke, and Daba).
Merga ShelemaSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia (Mr Shelema).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum hemorrhage as the primary cause was associated with 41% to 51% of all maternal deaths in Ethiopia between 2013 and 2018. The majority of postpartum hemorrhage-related deaths can be avoided by using efficient therapies and having midwives with good knowledge and skills.

objectiveThis study aimed at determining the knowledge and practices of midwives related to postpartum hemorrhage management and associated factors at selected public hospitals in Addis Ababa, Ethiopia. STUDY

designAn institutional-based, cross-sectional study design was employed from March 15 to April 15, 2023. A simple random sampling technique was used to select the 207 sampled participants. Data were collected using a pretested, structured, self-administered questionnaire. Data coding and cleaning were done before data analysis. Variables with a

resultsIn this study, 34.3% (95% confidence interval, 28-41) of the study participants had good knowledge, whereas 65.7% (95% confidence interval, 59-72) had poor knowledge. Participants who had received job training in the labor ward had 3 times better knowledge than those who did not receive it (adjusted odds ratio, 3.386; 95% confidence interval, 1.427-8.033). In total, 30.4% (95% confidence interval, 24.6-37.6) of the participants had good practice, whereas 69.6% (95% confidence interval, 62.4-75.4) had poor practice.

conclusionThe participant responses showed that the majority of midwives lacked adequate knowledge of and practice related to postpartum hemorrhage management. All stakeholders should consider on-job training for participants, improving educational levels, and continuous screening and identification of institutional needs.

Indexed as

Addis AbabaEthiopiaknowledge and practicemidwivespostpartum hemorrhage

Identifiers

PMID40510761
PMCPMC12162017

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