Abstract
Introduction: Postpartum Hemorrhage is still one of the greatest dangerous and significant problems that can happen during birth. Most Postpartum Hemorrhage cases can be prevented and managed with prompt intervention and standardized protocols. Objective: The research aim was to assess midwives’ level of practice regarding standardized guidelines for prevention of postpartum hemorrhage. Methods: To achieve the study's objectives, a descriptive crosssectional design was adopted. two tools were used to collect data. The first instrument was a selfadministered structured questionnaire that included questions about the demographic characteristics of midwives, and the second instrument was Observational Checklist for assess midwives' practices regarding guidelines for prevention of postpartum hemorrhage: It was an adopted from the World Health Organization's (WHO) guidelines updated in 2023, and The Iraqi Ministry of Health's guidelines for prevention of primary postpartum hemorrhage (PPH). The questionnaire was tested by professionals and showed good reliability (Cronbach alpha= 0.82). SPSS version 25 was used to code, input, and analyses questionnaire data. The chi-square test explored category variable relationships. Significant results had a p-value below 0.05. Results: the current findings reveal that (89.8%) of midwives had moderate practices in the prevention of postpartum hemorrhage (PPH) throughout 3rd stage of labor and immediate postpartum period. While (10.2%) had poor practices and (0.0%) had good practices, also its found that there was no correlation between the sociodemographic factors and the total level of midwives’ practice. Conclusion: The current study concluded that most midwives demonstrated a moderate level of practice regarding standardized guidelines for postpartum hemorrhage prevention during 3rd stage of labour and immediate post-partum period. To bridge these gaps, a monitoring system should be designed and implemented to regularly assess obstetric nurses' practices to ensure best practices and identify area for improvement.