Knowledge of Postpartum Hemorrhage among Health Care Providers in Gynecological Hospitals: A Cross-Sectional Study in Mosul, Iraq
Abstract
Background: Postpartum hemorrhage (PPH) contributes to 25% of maternal deaths in conflict-affected regions like Mosul, Iraq. Despite clinical guidelines, knowledge gaps among healthcare providers compromise maternal outcomes.
Objective: To assess PPH-related knowledge (risk factors, diagnosis, prevention, management) among obstetric care providers in Mosul’s public hospitals.
Methods: A descriptive cross-sectional study (November 2024–April 2025) included 155 female physicians, nurses, and midwives from four hospitals via accidental sampling. Data were collected using a validated 33-item questionnaire. Knowledge scores were categorized as Weak (<50%), Moderate (50–75%), and High (>75%). Analyses used SPSS v24 (χ², Pearson correlations).
Results: Mean knowledge score was 68.1%. Competency was highest in management (74.2%) and lowest in prevention (61.7%; χ²=4.12, p=0.042). While 44% held bachelor’s degrees, 70.8% lacked PPH-specific training. Training significantly correlated with knowledge (r=0.42, p<0.001); academic degree did not (p=0.087).
Conclusion: Providers demonstrate moderate PPH knowledge but critical deficits in prevention. Mandatory simulation-based training and WHO protocol integration are urgently needed.
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