Objective: This study aims to evaluate the management of Postpartum Hemorrhage (PPH) in the Dominican Republic, focusing on the assessment of clinical training and the availability of resources within maternal health contexts.
Design: A cross-sectional study design was employed to gather comprehensive data on the current state of PPH management practices.
Setting: The research was conducted across both public and private hospitals located in the Dominican Republic, providing a diverse range of perspectives on healthcare delivery.
Population: A total of 500 participants were included in the study, comprising obstetricians and gynecology residents who are directly involved in maternal healthcare.
Methods: Participants completed a structured survey designed to assess their practices related to PPH management, the availability of necessary resources and their training experiences. Descriptive statistics were utilized to analyze the collected data, offering insights into the current challenges faced in managing PPH.
Main outcome measures: The primary outcomes measured included the level of clinical training in managing obstetric emergencies, the availability of essential resources for effective PPH management and the perceived importance of a multidisciplinary approach in addressing PPH cases.
Results: The findings revealed that 45% of respondents felt inadequately trained to manage PPH effectively, highlighting a significant gap in clinical education. Additionally, only 30% of the surveyed hospitals reported having access to bakri balloons, an important tool for managing severe PPH. Moreover, 60% of the participants indicated that oxytocin was utilized as their first- line uterotonic agent for treatment. Notably, 80% of respondents emphasized the important importance of adopting a multidisciplinary approach to enhance outcomes in PPH management.
Conclusion: The study identified substantial deficiencies in both clinical training and access to essential resources necessary for effective PPH management in the Dominican Republic. Addressing these gaps is essential for improving the management of postpartum hemorrhage and ultimately reducing maternal mortality rates in the region.
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The Annals of Medical and Health Sciences Research is a monthly multidisciplinary medical journal.