Midwives' Perspectives on Digital Micro-Learning for the Active Management of the Third Stage of Labour: A Qualitative Study.

Background: Postpartum haemorrhage (PPH) remains a leading cause of maternal mortality, particularly in low-resource settings. Active Management of the Third Stage of Labour (AMTSL) is a critical intervention for reducing PPH, yet midwives in underserved areas often face challenges accessing updated...

Descripción completa

Detalles Bibliográficos
Publicado en:Africa Journal of Nursing & Midwifery Vol. 27; no. 2; pp. 1 - 18
Autores principales: Qbitah, Reem Abu, Abu-Abbas, Manar, Alrida, Nour
Formato: clinical trial research tables/charts Journal Article
Publicado: Unisa Press 2025
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Background: Postpartum haemorrhage (PPH) remains a leading cause of maternal mortality, particularly in low-resource settings. Active Management of the Third Stage of Labour (AMTSL) is a critical intervention for reducing PPH, yet midwives in underserved areas often face challenges accessing updated, practical training. Objective: This study explored midwives' perceptions of a digital microlearning video intervention (m-AMTSLV) on AMTSL and its effectiveness in improving knowledge and clinical practice in southern Jordan. Methods: A qualitative descriptive design involving semi-structured interviews with 13 midwives from two government hospitals was used. Purposive sampling was used to recruit midwives who had completed the m-AMTSLV intervention, worked full-time on labour and postpartum units, and had direct care of childbirth. Data were analysed using thematic analysis based on Braun and Clarke's six-phase framework. Results: Four major themes emerged. Theme 1: effectiveness of Digital Learning in Real-World Practice, subtheme 1: realistic simulation that boosted clinical confidence and improved maternal care outcomes, and subtheme 2: flexible, self-paced access via phone without disrupting work or family duties. Theme 2: suitability for remote and low-resource settings, subtheme 1: addressing training gaps, and subtheme 2: practical Implementation without advanced tools. Theme 3: user-centred design and language accessibility, subtheme 1: preference for Arabic or bilingual content, and subtheme 2: engaging scenario-based videos. Finally, theme 4: technical and logistical challenges, subtheme 1: internet connectivity issues, and subtheme 2: limited access to traditional training opportunities. Conclusion: The m-AMTSLV intervention was perceived as effective, accessible, and relevant for enhancing midwives' clinical competence in managing PPH, particularly in areas with limited resources. Integrating such micro-learning tools into national midwifery education strategies could strengthen maternal care outcomes in underserved settings.