title: Teaching guatemala midwives about postpartum hemorrhage.
abstract: OBJECTIVE
  To evaluate the effect of a culturally sensitive teaching unit on traditional midwives' knowledge of nursing interventions to prevent and treat postpartum hemorrhage (PPH).
  
  
  METHODS
  Sixteen midwives participated in a 1-day training program at a Refuge International Health Clinic in the remote town of Sarstun, Guatemala. The quasi experimental study used a one-group, pretest-posttest design. Researchers used a PPH Behavioral Checklist from the American College of Nurse Midwives (ACNM) to assess and compare knowledge of PPH interventions before and after the PPH teaching.
  
  
  RESULTS
  The final analysis included 13 traditional midwives as the subjects. The culturally sensitive teaching improved traditional midwives' knowledge and skills about nursing interventions to manage PPH (pretest M = 1.385/8, posttest M = 4.846/8).
  
  
  CONCLUSIONS
  Results of this pilot project suggest a culturally sensitive oral teaching in the primary language of the participants positively affects traditional midwives' knowledge and skills to manage PPH. Future training should be presented in a similar format to meet the needs of illiterate audiences in resource-poor settings.
authors.affiliation: Bradford Regional Medical Center, Bradford, PA, USA. ksg11@case.edu
authors.forename: Kimberly
authors.initials: K
authors.lastname: Garcia
authors.forename: Fellow Barbara
authors.initials: FB
authors.lastname: Morrison
authors.forename: Carol
authors.initials: C
authors.lastname: Savrin
mesh_terms: D000328:Adult; D005260:Female; D006166:Guatemala; D006801:Humans; D007199:Indians, South American; D008519:Medicine, Traditional; D008880:Midwifery / Q000193:education*; D009723:Nurse-Patient Relations; D010865:Pilot Projects; D011181:Postnatal Care; D006473:Postpartum Hemorrhage / Q000517:prevention & control* / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control / Q000628:therapy; D019035:Rural Health Services; D055815:Young Adult