Date of Graduation

Fall 12-15-2017

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Healthcare Systems Leadership DNP

First Advisor

Jodie Sandhu

Second Advisor

Jo Loomis


Postpartum hemorrhage (PPH) is one of the leading causes of mortality and morbidity among childbearing women globally (Ononge, Mirembe, Wandabwa, & Campbell, 2016). Although this outcome is preventable, it remains a significant cause of death among women, especially in underdeveloped countries. This paper examines an educational project that was aimed to increase the knowledge of student midwives and registered midwives in a rural academic setting in Nigeria.

Methods: A one-day educational pilot training which consisted of a didactic component and a case-based simulation training focused on identifying risk factors, assessment techniques, and management protocols for the PPH patient. There were 35 participants in this pilot

Results: Participants showed an overall increase in their level of knowledge of PPH following this training. A mean score of 13.21 for post-assessment was noted compared to 9.74 pre-assessment with a variance of 9.0 for pre-assessment and 13.2 for post-assessment.

Conclusion: Conclusion: Low levels of awareness about PPH and lack of standardized training or competency evaluation for practicing midwives enlightens a significant depth about the problem of PPH in Nigeria. This pilot project demonstrated the ability to increase knowledge and awareness of PPH prevention and, assist this Nigerian community of practitioners in enhancing their skills.

Included in

Nursing Commons