ANXIETY AND KNOWLEDGE LEVELS OF PARAMEDICS AND EMERGENCY MEDICAL TECHNICIANS TRAINED IN EMERGENCY BIRTH

Emergency birth training


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Keywords:

Birth, Emergency, Anxiety, Knowledge

Abstract

The aim of this study is to determine the effect of emergency birth training given to emergency medical technicians and paramedics on their knowledge levels and anxiety status. This study employed a single-group pretest–posttest quasi-experimental design. The study sample consisted of 231 emergency medical technicians and paramedics working in one province. The research data were collected using the Personal Information Form, the Visual Comparison Scale, and the Emergency Birth Information Inquiry Form. The data were analyzed using SPSS 26.0. The mean anxiety and knowledge levels of the participants before the emergency birth training were 3.98±2.49 and 7.04±1.48, respectively, while those after the emergency birth training were 3.46±2.43 and 9.29±1.41, respectively. According to these results, while participants' anxiety levels decreased, their knowledge levels increased (t=4.335, p<0.001; t=17.708, p<0.001, respectively). As a result, regularly providing in-service training for emergency health workers with such content, supported by quality and simulation models, will make a significant contribution to maternal and newborn health.

References

Say L, Pattinson RC, Gulmezoglu M. (2004). WHO systematic review of maternal morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss). Reprod Health. 1(3):1–5.

World Health Organization. (2014). The WHO application of ICD-10 to deaths during pregnancy, childbirth and the puerperium (ICD-MM). Geneva: World Health Organization. Available from: https://www.who.int/publications/i/item/9789241548458 (accessed July 15, 2024).

Timilsina S, Dhakal R. (2015). Knowledge on postnatal care among postnatal mothers. Saudi J Med Pharm Sci. 1(4):87–92. http://doi.org/10.36348/sjmps.2015.v01i04.001

World Health Organization. (2013). WHO recommendations on postnatal care of the mother and newborn. Available from: https://www.who.int/publications-detail-redirect/9789241506649 (accessed July 15, 2024).

Republic of Turkey Ministry of Health Public Health Institution. (2022). Emergency obstetric care management guide. Available from: https://hsgm.saglik.gov.tr/depo/birimler/kadin-ve-ureme-sagligi-db/Rehberler/Acil_Obstetrik_Bakim_Yonetim_Rehberi_2022.pdf (accessed July 15, 2024).

Turkish Statistical Institute (TurkStat). (2023). Death and cause of death statistics. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Death-and-Causes-of-Death-Statistics-2022-49679 (accessed July 26, 2024).

Turkish Statistical Institute (TurkStat). (2021). United Nations minimum set of gender indicators: health and related services, maternal mortality rate (2007–2019). Available from: https://data.tuik.gov.tr/Kategori/GetKategori?p=nufus-ve-demografi-109&dil=1 (accessed July 26, 2024).

Çelikli S. (2016). Standardization efforts and breaking points in paramedic education since establishment. Journal of Pre-Hospital. 1(2):39–54.

Republic of Turkey Ministry of Health. (2024). General Directorate of Emergency Health Services. Available from: https://acilafet.saglik.gov.tr/TR,4226/yonetmelikler.html (accessed July 25, 2024).

Yıldırım D, Sarı E, Gündüz S, Yolcu S. (2014). Past and present of paramedic education. Smyrna Med J. 3(1):51–53.

Josephsen JB, Kemp J, Elbabaa SK, Al-Hosni M. (2015). Life-threatening neonatal epidural hematoma caused by precipitous vaginal delivery. Am J Case Rep. 16:50–52.

Gunnarsson B, Smárason AK, Skogvoll E, Fasting S. (2014). Characteristics and outcome of unplanned out-of-institution births in Norway from 1999 to 2013: a cross-sectional study. Acta Obstet Gynecol Scand. 93(10):1003–1010.

Flanagan B, Lord B, Barnes M. (2017). Is unplanned out-of-hospital birth managed by paramedics infrequent, normal and uncomplicated? BMC Pregnancy Childbirth. 17(1):436.

Turkish Neurosurgical Society – Spinal and Peripheral Nerve Surgery Group. (2017). Visual analog scale evaluation. Available from: http://www.spinetr.com/uploads/files/skor/vizuelanalogskala.pdf (accessed July 25, 2024).

Lepage J, Cosson M, Mayeur O, Brieu M, Rubod C. (2016). The role of childbirth research simulators in clinical practice. Int J Gynaecol Obstet. 132(2):234–235. http://doi.org/10.1016/j.ijgo.2015.07.017

Gebhard J, Graf J, Abele H, Pauluschke-Fröhlich J. (2024). Einbindung und umgang von notfallsanitätern bei ungeplanten außerklinischen geburten: ein online-survey. Gesundheitswesen. 86(1):18–27. http://doi.org/10.1055/a-2183-5837

Conroy N, Jalloh CS, Mitchell L, Solanki A, Seedat A, Lambert SB. (2014). Neonatal resuscitation skills amongst healthcare workers in Bo district, Sierra Leone. Resuscitation. 85(2):31–32. http://doi.org/10.1016/j.resuscitation.2013.11.011

Ameh CA, Mdegela M, White S, van den Broek N. (2019). The effectiveness of training in emergency obstetric care: a systematic literature review. Health Policy Plan. 34(4):257–270. http://doi.org/10.1093/heapol/czz028

Crofts JF, Fox R, Draycott TJ, Winter C, Hunt LP, Akande VA. (2013). Retention of factual knowledge after practical training for intrapartum emergencies. Int J Gynecol Obstet. 123(1):81–85.

Xu T, Wang H, Gong L, Ye H, Yu R, Wang D, et al. (2014). The impact of an intervention package promoting effective neonatal resuscitation training in rural China. Resuscitation. 85(2):253–259.

Ronsmans C, Endang A, Gunawan S, Zazri A, McDermott J, Koblinsky M, et al. (2001). Evaluation of a comprehensive home-based midwifery programme in South Kalimantan, Indonesia. Trop Med Int Health. 6(10):799–810.

Nelissen E, Ersdal H, Østergaard D, Mduma E, Broerse J, Evjen-Olsen B, et al. (2014). Helping mothers survive bleeding after birth: an evaluation of simulation-based training in a low-resource setting. Acta Obstet Gynecol Scand. 93(3):287–295.

Ersdal H, Vossius C, Bayo E, Mduma E, Perlman J, Lippert A, et al. (2013). A one-day “Helping Babies Breathe” course improves simulated performance but not clinical management of neonates. Resuscitation. 84(10):1422–1427.

Kabahaliloğlu K, Gügerçinoğlu E, Barut T. (2020). Investigation of perceived belonging, perceived stress and problem-solving skills of health services workers in emergencies and disasters. JADEM. 1(2):5–19.

Published

2026-03-26 — Updated on 2026-03-26

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UÇAN YAMAÇ, S., & ÇETİNKAYA AK, E. (2026). ANXIETY AND KNOWLEDGE LEVELS OF PARAMEDICS AND EMERGENCY MEDICAL TECHNICIANS TRAINED IN EMERGENCY BIRTH: Emergency birth training. Göbeklitepe Medical Science Journal, 9(1). Retrieved from https://gobeklitepejournal.com/index.php/pub/article/view/414