Evidence map›Paper›PMID 42859671›Full record

ArticleInternational journal of women's health2026

Healthcare Providers' Practices in Postpartum Hemorrhage Management: A Multi-Centre Cross-Sectional Study in Tanzania.

Catherine Safari Massay, Paschal Francis Mdoe, Benjamin A Kamala, Robert Moshiro, Estomih Mduma, Sara Rivenes, Jørgen Linde, Godfrey Guga, Hege L Ersdal, Michael Johnson Mahande

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Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Catherine Safari MassayDepartment of Midwifery, School of Nursing, KCMC University, Moshi, Tanzania.
Paschal Francis MdoeDepartment of Obstetrics and Gynaecology, Haydom Lutheran Hospital, Mbulu, Manyara, Tanzania.
Benjamin A KamalaDepartment of Obstetrics and Gynaecology, Haydom Lutheran Hospital, Mbulu, Manyara, Tanzania.
Robert MoshiroDepartment of Paediatrics, Muhimbili National Hospital, Dar Es Salaam, Tanzania.
Estomih MdumaDepartment of Obstetrics and Gynaecology, Haydom Lutheran Hospital, Mbulu, Manyara, Tanzania.ORCID 0000-0002-9401-3982
Sara RivenesDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0001-7382-3022
Jørgen LindeDepartment of Obstetrics and Gynaecology, Stavanger University Hospital, Stavanger, Norway.
Godfrey GugaDepartment of Obstetrics and Gynaecology, Haydom Lutheran Hospital, Mbulu, Manyara, Tanzania.
Hege L ErsdalDepartment of Simulation-Based Learning, Stavanger University Hospital, Stavanger, Norway.ORCID 0000-0002-2795-8564
Michael Johnson MahandeDepartment of Epidemiology and Biostatistics, Institute of Public Health, KCMC University, Moshi, Tanzania.ORCID 0000-0002-7750-7657

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality in Tanzania. Accurate diagnosis, proper documentation, and effective patient communication including disclosure and informed consent are essential for quality PPH care. However, evidence on these practices among healthcare providers (HCPs) is limited. This study assessed HCPs practices related to PPH diagnosis, documentation, disclosure and consent in Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) facilities. Methods: A facility-based cross-sectional study was conducted between October and November 2024 among healthcare provider working in maternity ward in 142 CEmONC facilities implementing the Safer Births Bundle of Care across five regions in Tanzania. Healthcare providers providing care to birthing women were voluntarily invited to participate. Convenience sampling was used in recruitment. Data were collected using a structured, pre-tested questionnaire administered using Open Data Kit. Descriptive statistics summarized HCPs characteristics and practices. Chi-square tests was used to assess the associations between practices and HCPs characteristics, with statistical significance set at p < 0.05. Results: A total of 446 HCP participated in the study. Most HCPs 371 (83.2%) received training on PPH diagnosis. Visual estimation of blood loss was the predominant diagnostic method 435 (97.5%). However, only 194 (43.5%) reported good diagnostic practices based on the assessed criteria. Documentation was suboptimal, with only 79 (17.7%) consistently recording all PPH diagnoses, while 234 (52.5%) documented only severe cases requiring blood transfusion. Regarding patient communication, 356 (79.8%) reported consistently disclosing PPH diagnoses, and 295 (66.1%) obtained consent before invasive procedures. Communication practices were significantly associated with cadre (p=0.012) and education level (p=0.034). Conclusion: Despite high levels of reported training, substantial gaps were identified in diagnostic, documentation, and patient communication practices in PPH management. Strengthening objective diagnostic approaches, improving documentation systems and effective communication practices are needed to improve quality of care.

Indexed as

an informed consentdiagnosisdisclosuredocumentationmaternal healthpostpartum hemorrhageTanzania

Identifiers

PMID42859671
PMCPMC13653529

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.