Considered inadequate maternity care during pregnancy and delivery largely responsible for the big annual losses for each of the parturient mothers and their newborns. So this study aimed to assess the midwives knowledge regarding the management of s
econd stage of labor, and to find out the association between their knowledge and personal data during second stage of labor. This descriptive study was conducted in three hospitals at lattakia city, on a sample of 160 midwife. Results of the study showed that the level of midwives information to the second stage of labor was average, and the study of the impact of personal data on the level of midwives information about the second stage of labor show a statistically significant relationship between age and the level of Midwives Information, and between educational level and the level of their knowledge. The study also showed that There were no statistically significant differences between the experience and the level of information midwives relationship. The study recommends that; installing in-service educational program for Midwives to upgrade the techniques necessary to assess, evaluate and improve the quality of care rendered to laboring women, and to put an emphasis on conducting training course for the Midwives in order to change their malpractices and updating their knowledge with regular supervision on their performance.
The bleeding after delivery (Postpartum Hemorrhage-PPH) is the most important complications that occur after a natural or cesarean delivery, and represents about a quarter of maternal mortality around the world. Midwives play a basis role in preventi
on of bleeding after birth. So This research aims to evaluate the knowledge of midwives about using strategies to prevention and management the bleeding after delivery. Its sample included all midwives in obstetrics departments in Alasad University, Children and Obstetric, and Tishreen University Hospital all in Lattakia city. Data were collected using a questionnaire developed by researcher. The results according to strategies used in prevention and management of bleeding after delivery showed that 60% of the level of knowledge of midwives were "inappropriate". There were significant inverse relationship (P = 0.006) between ages of midwives and level of knowledge. Also showed a significant inverse relationship between number of years of experience with the midwives and level of knowledge (P = 0.01). So we suggest conducting training sessions and educational lectures for midwives with respect to the strategies used in prevention and management of bleeding after delivery, and must evaluate the midwives information about prevention and management of bleeding after delivery periodically and continuously.
