Keywords
maternal health
patient transfer techniques
midwifery practice
health system strengthening
How to Cite
Abstract
Introduction
Maternal mortality due to postpartum haemorrhage (PPH) during the transfer of women giving birth remains a major global public health problem, according to the World Health Organization (WHO), particularly in areas affected by armed conflict.
Purpose
The aim of this study was to improve the quality of care for women experiencing postpartum haemorrhage.
Methods
A qualitative phenomenological study was conducted in the urban–rural health zone of Bunia to describe and understand individual phenomena based on the lived experiences of midwives. Data were collected using semi-structured interviews, while indicative coding and data triangulation were applied during analysis. A total of 28 midwives actively participated in the study.
Results
The findings reveal widespread dissatisfaction among healthcare providers with the transfer techniques currently in use. Testimonies indicate that the clinical condition of patients upon arrival at referral facilities is often very critical, highlighting the ineffectiveness of existing transfer practices. Midwives also reported frustration related to inadequate resources, shortages of staff, and the limited availability of ambulances for emergency response. These challenges contribute to negative perceptions of the care provided during the transfer of women with postpartum haemorrhage and underscore the urgent need for systemic improvements.
Conclusion
To improve the care of women in labour suffering from postpartum haemorrhage in the urban–rural health zone of Bunia, it is recommended to integrate innovative interventions such as shock-absorbing trousers, strengthen care and transport infrastructure, ensure regular training of healthcare personnel, and guarantee the availability of essential pharmaceutical products.
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