Behavioral Skills
Before the training most midwives demonstrated only one
or two of the eight steps on the PPH Behavioral Skills
Checklist. All the midwives demonstrated a fundal massage
and one-third of midwives demonstrated a two-handed
hold of the fundus. Midwives also demonstrated massaging
the patient’s legs, lifting the patient’s legs and giving the patient herbs as means of treating PPH before the teaching.
However, none of the latter interventions were on the PPH
Behavioral Skills Checklist. The pretest responses provided
insight into traditional midwives’ practices in Guatemala.