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Table 3 Self-assessment of midwifery clinical skills

From: Experiences of a new cadre of midwives in Bangladesh: findings from a mixed method study

  Learnt this skill in the education programme (%) Learnt this skill at work (%) Confident to perform this skill at work (%) Performed this skill in the last month %
Taking an antenatal history 99.6 99.6 99.1 97.2
Calculating expected date of delivery (EDD) 100.0 99.5 100.0 98.3
Measurement of uterine size with tape 99.1 96.3 99.1 88.2
Provide individual counselling for preparing for birth/ making birth plan and emergency plan 99.9 99.5 99.6 95.9
Recognition of low haemoglobin in pregnant woman 98.2 95.5 95.8 82.0
Management of anaemia in pregnancy 99.6 97.7 99.5 84.4
Provide group counselling to the community on healthy pregnancies and safe motherhood 94.3 83.9 97.4 60.3
Identify signs of the onset of labour 100.0 99.6 99.6 95.5
Determination of foetal position by abdominal examination 98.4 97.2 98.5 88.6
Listening to the foetal heart sounds 100.0 100.0 99.9 97.2
Use of partograph 99.1 89.4 98.1 69.9
Identify the signs of second stage of labour 99.6 100.0 100.0 95.1
Manage second stage of labour 100.0 99.6 99.6 93.3
Natural (with no oxytocin) management of 3rd stage of labour 98.2 94.8 96.3 78.6
Inspection of placenta and membranes 100.0 99.6 100.0 92.0
Perform manual removal of placenta 99.4 95.1 97.2 63.1
Suture perineum 97.9 98.4 99.0 80.4
Assess APGAR scores 100.0 99.5 100.0 94.9
Helping baby take first breath 99.9 99.4 100.0 85.4
Assist in immediate breastfeeding 100.0 99.6 100.0 95.3
Perform newborn eye care 98.6 96.4 98.2 84.2
Recognise uterus is well contracted immediately postpartum (after birth) 99.9 98.6 99.6 94.4
Provide client-focused postnatal Family Planning counselling 98.5 98.9 98.5 93.5
Examine newborn 99.0 99.1 99.9 92.9
Diagnose postpartum haemorrhage 100.0 96.5 99.1 57.9
Manage postpartum haemorrhage 99.6 97.9 99.6 50.8
Diagnose infection in the newborn and give appropriate immediate care for newborn 99.1 89.2 95.4 50.6
Diagnose sepsis in postpartum women and give immediate care 99.6 91.2 96.7 43.2
Recognise women with eclamptic fits 100.0 87.1 98.1 26.0
Manage eclamptic fits including giving magnesium sulphate 99.5 82.0 97.0 24.2
Number of respondents (N) 329 329 329 329
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