Background: Postpartum hemorrhage (PPH) is a leading cause of global maternal mortality, with a significant burden in developing countries like India. Knowledge and practice gaps among staff nurses regarding Active Management of the Third Stage of Labor (AMTSL) significantly influence maternal outcomes. Objectives: 1. To assess baseline knowledge and practice of staff nurses regarding prevention of PPH. 2. To evaluate the effectiveness of a Structured Teaching Program (STP) on improving these outcomes. 3. To determine the association between selected demographic variables and baseline scores. Methods: A pre-experimental, one-group pretest–posttest design was conducted among 50 staff nurses in a tertiary hospital in Indore using purposive sampling. A validated knowledge questionnaire (30 items) and observational checklist (20 items) were used. Data were analyzed using descriptive statistics, paired t-test, and Chi-square test. Results: Post-intervention, there was a significant improvement in mean knowledge scores (Pretest 14.26±3.8; Posttest 24.62±2.9; t=12.54, p<0.001) and practice scores (Pretest 12.45±3.1; Posttest 22.34±2.7; t=11.92, p<0.001). No significant association was found between demographic variables and pretest scores. Conclusion: The Structured Teaching Program was highly effective in enhancing knowledge and clinical practice regarding PPH prevention. Regular in-service training and simulation-based practice are recommended to sustain nursing competency and improve maternal safety.
Postpartum hemorrhage, structured teaching program, AMTSL, maternal mortality, nursing education, in-service training.
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