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...

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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
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      dt: 2025
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        atl: Midwives' Perspectives on Digital Micro-Learning for the Active Management of the Third Stage of Labour: A Qualitative Study.
      aug:
        au:
          Qbitah, Reem Abu
          Abu-Abbas, Manar
          Alrida, Nour
        affil: University of Jordan, Jordan
      sug:
        subj:
          Labor Stage, Third
          Management of Labor
          Learning Methods
          Videorecording
          Internet-Based Intervention Evaluation
          Midwife Attitudes Evaluation
          Professional Knowledge
          Professional Practice
          Quality Improvement
          Human
          Jordan
          Qualitative Studies
          Descriptive Research
          Exploratory Research
          Clinical Trials
          Semi-Structured Interview
          Hospitals, Public
          Purposive Sample
          Childbirth
          Thematic Analysis
          Conceptual Framework
          Resource-Limited Settings
          Internet Connections
          Midwives Education
          Descriptive Statistics
      ab: 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.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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