Impact of Training Program Upon Nurse-Midwives’ Practices Concerning Third Stage of Labor

Abstract

Objective: The aim of this study is to identify the impact of training education program applied on
nurse-midwife practice concerning care during third stage of labor in labor room. Examine the
relationship between their knowledge regarding practices and some Demographic information’s.
Methodology: A quasi-experimental design conducted on non-probability (purposive) sample of fifty
two nurse-midwives selected during period from3
th August to 10thNovember 2011. The study is
conducted at the Ministry of Health (Baghdad health directorate in Al-Karhk and Al-Risafa sector) in
four hospitals. The questionnaire form is consisted of three parts which included demographic data,
knowledge concerning practice during third stage of labor, practice checklist. Content validity and
reliability of the questionnaire determined through a pilot study, descriptive and inferential statistics
are used to analyze the data.
Results: Results of the study showed that the highest percentage (44.2%) were in age group of 30-39
years, midwifery school graduate and) 42.3 % (of them had 1-10 years of work experience in midwifery.
There were low and moderate means in most items related to the knowledge and practices of nursemidwives
regarding third stage of labor in pre-test and assessed as (partial) while there were high
mean scores in all items, and assessed Pass in posttest after the implementation of the training
education program with high statistical significant .
Recommendation: The study recommended that establishment of clinical practice standards according
to the WHO, development of continuing education programs; establish a baccalaureate degree
program in midwifery.