Increasing the Knowledge Capacity of Midwife About Active Management Placenta Drainage Through Video at PONED Aceh Besar Health Center

Authors

  • gustiana Poltekkes Aceh
  • Asriah Poltekkes Aceh

Keywords:

Knowledge Capacity, Midwife, Management Placenta Drainage

Abstract

The Ministry of Health (Kemenkes) noted that the maternal mortality rate in Indonesia was 4,627 people in 2020. This number increased by 8.92 % from the previous year, 4,197 people. The leading cause of maternal mortality is postpartum hemorrhage. Efforts to prevent postpartum hemorrhage can be started early, namely active management of the third stage with placental drainage. The use of placental drainage aims to reduce the volume of the placenta, support the effectiveness of uterine contractions, and accelerate separation and expulsion. Not all midwives are aware of active management of the third stage with placental drainage. For this reason, it is necessary to strengthen midwives' knowledge about placental drainage in active management of the third stage through videos. This research uses a quasi-experimental design with a one-group posttest only design to determine the knowledge and skills of midwives about placental drainage. The population in this study were midwives who served at the PONED Aceh Besar Health Center. The sample was midwives who served at the Want Jaya, Sibreh, Montasik, Seulimum, and Lhoong Health Centers, totaling 99 midwives. The results showed a relationship between the midwife's knowledge about placental drainage and the midwife's skills with a P-value of 0.000 with an R-value of 0.872, which means that the relationship between the knowledge and skills of the midwife is solid. There was an increase in the average knowledge of midwives by 84.14 and the average skill of midwives by 75.81.

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References

[1] Mahmood MA, Hendarto H, Laksana MAC, Damayanti HE, Suhargono MH, Pranadyan R, et al. (2021) Health system and quality of care factors contributing to maternal deaths in East Java, Indonesia. PLoS ONE 16(2): e0247911. https://doi.org/10.1371/journal.pone.0247911
[2] Ahmed, S., & Fullerton, J. (2019). Challenges of reducing maternal and neonatal mortality in Indonesia: Ways forward. International Journal of Gynecology & Obstetrics, 144, 1-3.
[3] Ministry of Health, Republic of Indonesia, 2018. Indonesia Health Profile 2017. Jakarta, Republic of Indonesia.
[4] Perlman, NC, & Carusi, DA (2019). Retained placenta after vaginal delivery: risk factors and management. International journal of women's health, 11, 527–534. https://doi.org/10.2147/IJWH.S218933
[5] American College of Obstetricians and Gynecologists (2006). ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October 2006: postpartum hemorrhage. Obstetrics and gynecology, 108 (4), 1039–1047. https://doi.org/10.1097/00006250-200610000-00046
[6] Endler, M., Grünewald, C., & Saltvedt, S. (2012). Epidemiology of retained placenta: oxytocin as an independent risk factor. Obstetrics and gynecology, 119 (4), 801–809. https://doi.org/10.1097/AOG.0b013e31824acb3b
[7] Bateman, BT, Berman, MF, Riley, LE, & Leffert, LR (2010). The epidemiology of postpartum hemorrhage in a large, nationwide sample of deliveries. Anesthesia and analgesia, 110 (5), 1368–1373. https://doi.org/10.1213/ANE.0b013e3181d74898
[8] Unni, KK, Inwards, CY, Bridge, JA, Kindblom, LG, & Wold, LE American Registry of Pathology in collaboration with the Armed Forces Institute of Pathology; Washington, DC: 2005. Tumors of the bones and joints. American registry of pathology.[Google Scholar].
[9] Güngördük, K., Olgaç, Y., Gülseren, V., & Kocaer, M. (2018). Active management of the third stage of labor: A brief overview of critical issues. Turkish journal of obstetrics and gynecology, 15 (3), 188–192. https://doi.org/10.4274/tjod.39049
[10] Taebi, M., Kalahroudi, MA, Sadat, Z., & Saberi, F. (2012). The duration of the third stage of labor and related factors. Iranian journal of nursing and midwifery research, 17 (2 Suppl 1), S76–S79.
[11] Soltani, H., Poulose, TA, & Hutchon, DR (2011). Placental cord drainage after vaginal delivery is part of managing the third stage of labor. The Cochrane database of systematic reviews, 2011 (9), CD004665. https://doi.org/10.1002/14651858.CD004665.pub3
[12] Hofmeyr, GJ, Mshweshwe, NT, & Gülmezoglu, AM (2015). She controlled cord traction for the third stage of labor. The Cochrane database of systematic reviews, 1 (1), CD008020. https://doi.org/10.1002/14651858.CD008020.pub2
[13] Begley, CM, Gyte, GM, Devane, D., McGuire, W., & Weeks, A. (2011). Active versus expectant management for women in the third stage of labor. The Cochrane database of systematic reviews, (11), CD007412. https://doi.org/10.1002/14651858.CD007412.pub3
[14] Gustiana, G., Novemi, N., Yusnaini, Y., Kartinazahri, K., & Fitraniar, I. (2021). The Effectiveness of Placental Drainage in the Active Management of the Third Stage against the Duration of Three Childbirths in the Independent Practice of Midwives in Banda Aceh City. Open Access Macedonian Journal of Medical Sciences, 9 (E), 745-748.
[15] Brame CJ (2016). Compelling Educational Videos: Principles and Guidelines for Maximizing Student Learning from Video Content. CBE life sciences education, 15 (4), es6. https://doi.org/10.1187/cbe.16-03-0125
[16] Winter, C., Macfarlane, A., Deneux-Tharaux, C., Zhang, WH, Alexander, S., Brocklehurst, P., Bouvier-Colle, MH, Prendiville, W., Cararach, V., van Roosmalen, J., Berbik, I., Klein, M., Ayres-de-Campos, D., Erkkola, R., Chiechi, LM, Langhoff-Roos, J., Stray-Pedersen, B., & Troeger, C. (2007). Variations in policies for management of the third stage of labor and the immediate management of postpartum hemorrhage in Europe. BJOG: an international journal of obstetrics and gynecology, 114 (7), 845–854. https://doi.org/10.1111/j.1471-0528.2007.01377.x
[17] Zhang, WH, Alexander, S., Bouvier-Colle, MH, Macfarlane, A., & MOMS-B Group (2005). The MOMS-B survey indicates the incidence of severe pre-eclampsia, postpartum hemorrhage, and sepsis as a surrogate marker for severe maternal morbidity in a European population-based study. BJOG: an international journal of obstetrics and gynecology, 112 (1), 89–96. https://doi.org/10.1111/j.1471-0528.2004.00303.x
[18] Akbar, MIA, Tjokroprawiro, BA, & Hendarto, H. (2020). Comprehensive Practical Obstetrics (Vol. 1). Airlangga University Press.

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Published

2022-04-15

How to Cite

gustiana and Asriah (2022) “Increasing the Knowledge Capacity of Midwife About Active Management Placenta Drainage Through Video at PONED Aceh Besar Health Center”, Science Midwifery, 10(2), pp. 928–932. Available at: https://www.midwifery.iocspublisher.org/index.php/midwifery/article/view/386 (Accessed: 9 March 2026).