• Doris Mumbi Muthoni, Priscilla Njeri Kabue, and Elizabeth Kurwa Ambani.
• Department of Community and Reproductive Health Nursing, Kenyatta University.
• Afr Health Sci. 2021 Mar 1; 21 (1): 304-310.

BackgroundPostpartum hemorrhage is the cumulative blood loss of 500 milliliters or more in a spontaneous vaginal delivery and approximately 1,000 milliliters or more for caesarean section birth and a leading cause of maternal mortality1.ObjectiveThe overall aim of the study was to determine midwives' factors that influence the management of PPH.MethodsA descriptive cross-sectional study that employed a quantitative approach through the use of a research self- administered questionnaire and an observational checklist targeting midwives were used. 85 midwives filled the questionnaire and 71 were observed respectively. The study was hospital- based conducted in Muranga County, Kenya. Convenience sampling technique was used to select the midwives in the study sites.ResultsThe following factors were statistically significant in influencing management of postpartum hemorrhage; age (P-value = 0.021). professional qualification (P= 0.047), experience in management of PPH (P= 0.032) and training on emergency PPH (P= 0.010), knowledge factors that were found to influence the management of PPH positively include knowledge on; prevention of PPH (p value-0.000), correct use of prophylactic uterotonic agents (P= 0.000), uterotonics use (P= 0.043), uterine massage during 3rd stage of labour (P= 0.012), examination of the placenta (P= 0.034), management of PPH (P= 0.028), causes and diagnosis of PPH (P= 0.001), (Fischer's exact value= 0.043).ConclusionResults of the study indicate a statistical association between midwives' factors and management of PPH.© 2021 Muthoni DM et al.

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