Kimberly Garcia, DNP, CNM, WHNP
Focus Group with Guatemalan Traditional Midwives about Postpartum Hemorrhage
Kimberly Garcia, DNP, CNM, WHNP
Barbara Morrison, PhD, CNM, FNP
Jill Kilanowski, PhD, PNP

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Abstract: The purpose of this qualitative, pilot descriptive study was to explore Guatemalan traditional midwives' knowledge, practices and attitudes about nursing interventions to manage postpartum hemorrhage (PPH). One 45-minute focus group was conducted among 13 traditional midwives at a rural health clinic that had limited resources and was located in remote central eastern Guatemala. The Long Table Approach was used to develop a matrix of common themes. Traditional midwives repeatedly asserted that they had never managed PPH despite a combined 197 years of midwifery service. Midwives expressed trust in local health care providers and said they would transfer patients to hospitals in emergencies. Midwives requested help educating villagers about the importance of prenatal care and of seeking early labor support. Limitations of this study include social desirability, lack of generalizability and variability. Future interventions should consider educating villagers, including men, as well as midwives about PPH or other prenatal care and labor support.

Keywords: Guatemala, midwives, postpartum, hemorrhage, childbirth, obstetrics, focus group

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