Table 3 Self-assessment of midwifery clinical skills
From: Experiences of a new cadre of midwives in Bangladesh: findings from a mixed method study
| Â | 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 |