

































 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
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https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

Effect of Training Program on Midwives Practice Regarding Immediate Care of 

Newborn on in Governmental Hospitals 

 Sinnar state. Sudan, 2022 

 

Rabab Omer Mohammed Salih1. Widad Ibrahim Adbulghader2. 

1. Ministry of Health Saudi Arabia. Neonatal Intensive Care Unit 
2. College of Nursing, University of Bahri 

Rabab Omer Mohammed Salih. Hail General Hospital.  

 

ABSTRACT 

 

Immediate newborn care is the care given to newborns in the transitional 

period (immediately after birth) which crucial to their survival. Midwives require 

adequate training practice and skills to provide immediate newborn care. The 

study was aimed to assist the midwives working in labor room unit in 

Obstetrics and Gynecology Teaching Hospital to gain skills needed in the 

immediate care of the newborn. Quasi-experimental designstudy was conducted 

from February to July 2020 at Sinnar State in governmental hospitals. The 

sample size consisted of (96) midwives. Data were collected by using 

observation checklist to monitor midwives performance pre and post intervention 

to determine their practice regarding immediate care of newborn. Data analysis 

was performed by statistical package for social sciences (SPSS) (Version 26) 

presented in tables and figure. The results of study indicated that midwives’ 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

practice assessment before the implementation of training program for study 

sample was moderate related to immediate newborn care. All the study group 

were labor room and female, they had got diploma certificate. Majority(44.8%) 

of the study samples were ranged between (41-50) years. The highest 

percentage (52.5%) of study sample were attended training program in neonatal 

care. The total mean score of post midwives practice were (79.2%, 13.5% and 

7.3%) for the done correctly, done not correctly and not done respectively. The 

results of the study indicated that (14.5%) of the midwives showed a good 

performance and after implementation practice program and conducting the 

post-test, the midwives expressed good performance (80.8%). There were high 

significant differences (P 0.01) in midwives’ practice at pretest and posttest 

before and after the implementation of practice program for study sample. The 

study findings showed that program had been an effective method of increasing 

the midwives’ practice about immediate newborn care.  

Key words: Midwives, implementation Practice, Immediate newborn care, 

Sudan. 

INTRODUCTION 

Essential newborn care is the care providing to the newborn babies after labor 

within the labor room by practiced workers which includes drying and 

motivating, evaluating breathing air , cord care, skin to skin contact, initiating 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

exclusive breastfeeding, eye care, vitamin k providing, place of identification 

band and weighing (Lazzerini, et al.,2019).A comparative study was done on 

essential newborn care practice in hospital and home deliveries in 2005 in 

Medan, Pakistan. This study highlighted the deficiencies in the newborn 

care.Both hospital practices and traditional ones neglected the basic principles 

of newborn cleanliness, early breast feeding, eye care and cord 

care(WHO.2017).Essential newborn care has standardized and active practical 

steps: drying and motivating, evaluating breathing, care of umbilical cord, 

protection the newborn warm (preventing hypothermia), starting breastfeeding 

within the first hour, managing eye drops / eye ointment, administering vitamin 

K intramuscularly, newborn identification straps, weighing the newborn, when 

stable and warm, write all notes and treatments, delay bathing the baby for 24 

hours after birth (Roué,et al., 2017). The majority of healthcare practitioners do 

not practice in a proper manner. Many neonatal deaths can be avoided if 

necessary newborn care is provided (Arba, 2022).The World Health 

Organization recommends that improving ENC be emphasized as a priority 

activity around the time of birth in order to substantially reduce newborn 

mortality. Despite the implementation of many efforts to improve vital infant 

care, only 16.4% and 13% of newborns received skilled health workers during 

delivery and the postnatal period, respectively (Abdu, et al., 2019). 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

The majority of neonatal deaths occur in the first week of life, with asphyxiation 

at delivery (47.5 %), neonatal infections (34.3 %), and prematurity accounting 

for 93 % of NMR instances (11.1 %) (WHO,2017).According to certain 

research, 25 % of health care providers do not have sufficient knowledge of 

essential newborn care, 28 percent do not have effective essential newborn 

care practices, and only 9.8 % of participants in the study are informed about 

infant resuscitation(Berhe, et al., 2017).One technique for improving infant health 

outcomes is to promote ENC. This necessitates health care systems that can 

provide continuum of care from the onset of pregnancy (and even before), 

through professional competent childbirth care, and into the postnatal period. 

However, the standardized technique for obtaining ENC is not widely used. One 

of the most important parts of health systems in terms of adhering to ENC 

standards is knowledge (Koru, 2013). 

New born mortality in Sudan is estimated at (61 per 1 000). The high figure is 

attributed to poor neonatal care resources, and shortage of staff trained in new 

born care.   Midwives are the first line staff to deal with neonates requiring 

urgent help. Neonatal care training is deficient in midwifery schools. Also there 

is lack of in-service training m neonatal care for hospital midwives newborn 

care services in Sudan have not progressed well over the years. Medical and 

nursing staff involved in newborn care in the delivery rooms or special care 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

baby units have not gained much experience in proper newborn care. The 

midwives are the first contact of the newborns so we need them to be 

knowledgeable and aware about initial care and assessment of the neonate to 

decrease incidence of mortality and morbidity rate by using standard process 

for the immediate care of newborn. For this reasons this study is conduced to 

provide a training program on midwives practice regarding immediate care of 

the newborn. 

 

METHODOLOGY 

 

A quasi-experimental design analytic study conducted to assess midwives' 

practice and to evaluate midwives' practices regarding immediate new born care 

for the study population using, the study was started at (October 2019 to 

August 2022). The study was performed in the labor room of Sinnar city, 

Obstetrics and Gynecology Teaching Hospital. The study's sample included (96) 

midwives who work in the labor room at the Obstetrics and Gynecology 

Teaching Hospital and were participating in the assessment. The samples were 

chosen based on the midwives who worked in the labor rooms at Sinnar city, 

Obstetrics and Gynecology Teaching Hospital. Inclusion criteria was all 

midwives working in labor room in Obstetrics and Gynecological Hospital at 

governmental hospital during the period of the study.An observational checklist 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
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https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

was developed by the researcher to observe the actual midwives performance 

before and after the training program. It included all midwives care and 

practices needed for the immediate care of the newborn. Data collected by self-

administer questionnaire and checklist by researcher a questionnaire sheet was 

designed by the researcher in Arabic language. The questionnaire consists of 

two main parts includes the following: 

Part I: consists of midwives’ demographic characteristics such as (midwives 

age, level of education, number of years' service in a hospital, number of 

years' experience in midwifery, whether they have completed a training course 

for immediate newborn care, the number of training courses they have 

completed, and the location of their participation.). 

Part II: Including the checklist concerning midwives’ practices about immediate 

care for newborns. Consist of (17) items were divided to (5) mean group 

relating to midwives' practice of providing immediate care to newborns such as 

maintain airway clearance: (oral suctioning, nasal suctioning, and apgar score). Umbilical 

cord such, skin and eye: (umbilical cord, skin to skin contact, skin care, and eye care). Initiation 

of early breast feeding, given vitamin K: (Initiation of early breast feeding and given vitamin K). 

Measuring vital signs: (assess body temperature by rectal, assess heart rate and assess respiratory 

rate). Measuring head and chest: (head circumference, chest circumference, weight and length). 

Training program including theory   and practice session   (stimulation). The 

post questioner provided immediately conducting the education program, pre 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

and post questioner are same, and checklist used for measuring the practice. 

In the evaluation. The practice scenario conducted for the participant and 

registered in with video and checked the   errors together, and deleted for 

those they do not want. During training program hand learning material 

distributed .at the end  of  the  best participants done to handle the continues  

training program .fallow up done after four  months and post questioner applied 

to the participants. 

Approval from University of Bahri faculty of postgraduates studies, permission of 

ministry of health and approval from all hospitals. Verbal informed consent was 

obtained from the participants, confidentiality of response to both questionnaire 

and personal data sheet was assured. The participant were provide essential 

information for consent form and their signatures taken on consent form. The 

participant have right to with draw from the study at any time and that there 

would be no potential physical economical or legal harm to the participants. 

The result available and given the hospital. 

SPSS (Statistical Package for Social Sciences) version 26.0 and excel is used 

to examine the data. It includes: data of this study analyzed descriptive by 

identifying the change and the percentage, frequency, standard deviation and 

mean of score. Also means determining the outcome. And Inferential Statistical 

Tests (t-test and repeated measure ANOVA). 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

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https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

RESULTS 

 

Table (1): Demographic characteristics of study group n=96 

Items Frequency Percent 

Age 

20-30 years 05 4.2% 

31-40 years 27 28.1% 

41-50 years 42 44.8% 

More than 50years 22 22.9% 

Total 96 100% 

Gender 

Female 96 100% 

level of qualification 

Diploma 96 100% 

Field of study 

Midwifery  96 100% 

years of experience 

6 – 11 Years 34 35.4% 

11 – 15 Years 12 12.5% 

More than 15 Years 50 52.1% 

Total 96 100% 

Unite of work  

Labor room 96 100% 

Last attended training and participation  in training courses in neonatal 

care 

Yes  50 52.5% 

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 IJO - INTERNATIONAL JOURNA

 ( ISSN: 2814-2098 )                                                                                   

https://ijojournals.com/                                

“Effect of Training Program on Midwives Practice Regard

 

 

The table showed that all the study group 

room and female. Majority(44.8%) were ranged between (41

highest percentage (52.1%) of study sample has training courses in immediate 

newborn care. 

 

 

 

Fig. (1). Performance of study group during Maintain dry and warm 

newborn after birth n= 96 

No 

Total 

INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING 

                                                                                    Rabab Omer Mohammed Salih

                                                     Volume 08 || Issue 03 || March

Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022

 

The table showed that all the study group were got diploma certificate,

Majority(44.8%) were ranged between (41-50) years.

highest percentage (52.1%) of study sample has training courses in immediate 

Fig. (1). Performance of study group during Maintain dry and warm 

 

46 47.5%

96 100%

AND NURSING  
Rabab Omer Mohammed Salih

1
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March, 2025 || 

ing Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 

got diploma certificate, labor 

50) years. The 

highest percentage (52.1%) of study sample has training courses in immediate 

 

Fig. (1). Performance of study group during Maintain dry and warm for the 

47.5% 

100% 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

Data in fig (1). Midwives practice during maintain dry and warm for the 

newborn after birth were (80.3%, 10.4% and 6.3%) for the done correctly, done 

not correctly and not done respectively.  

 

Table (2). Performance of study group during midwives practice items in 

immediate care of newborn pre and post n=96 

Done correctly answers Pre test Post test 

 f % f % 

Maintain airway clearance 

Oral suctioning 13 13.5% 73 76% 

Nasal suctioning 10 10.4% 71 70.4% 

Apgar score 10 10.4% 71 70.4% 

Mean score 11 11.3% 72 74.3% 

nursing care (umbilical cord, skin and eye) 

Umbilical cord 09 9.4% 79 82.2% 

Skin to skin contact 12 12.5% 83 86.5% 

Skin care 15 15.6% 80 83.3% 

Eye care 18 18.8% 82 85.4% 

Mean score 14 12.9% 81 79.5% 

nursing care (Initiation of early breast feeding, given vitamin K) 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

Initiation of early breast feeding 19 19.8% 78 81.4% 

Given vitamin K 43 44.8% 85 88.5% 

Mean score 31 23.3% 82 84.9% 

Whereas, f= frequency, %= percent. 

This table presents that the mean scores midwives practice for pre and post-

test about immediate newborn care; the mean score indicate that midwives 

practice were increased from (11.3%, 12.9% and 23.3%) to (74.3%, 79.5% and 

84.9%) for maintain airway clearance, umbilical cord, skin and eye and Initiation 

of early breast feeding, given vitamin K respectively.  

Table (3). Performance of study group during midwives practice items in 

immediate care of newborn pre and post n=96 

Correctly answers Pre test Post test 

 F % f % 

measuring vital signs in immediate care of newborn 

Assess body temperature by 

rectal 

10 10.4% 78 81.3% 

Assess heart rate 15 15.6% 78 81.3% 

Assess respiratory rate 07 07.5% 81 84.4% 

Mean score 11 11.7% 80 82.3 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

measuring head and chest circumference weight and length newborn 

after birth 

Head circumference 07 07.3% 78 81.3% 

Chest circumference 08 08.3% 82 85.4% 

Weight 18 18.6% 77 80.2% 

Length 17 17.7% 81 84.4% 

Means score 13 12.8% 80 82.8% 

Whereas, f= frequency, %= percent. 

This table presents that the mean scores midwives practice for pre and post-

test about immediate newborn care; the mean score indicate that midwives 

practice were increased from (11.7% and 12.8%)  to (82.3% and 82.8) for 

measuring vital signs in immediate care of newborn and measuring head and 

chest circumference weight and length newborn after birth respectively.  

Table (4) Mean of performance of study group during nursing care pre and 

post n=96 

Nursing practices Pre test Post 

test 

t Sig. (2-

tailed) 

 X±SD X±SD   

Performance of study group 

during Maintain dry and 

 

11.4±1.8 

 

74.3±3.4 

 

-28.5 

 

0.00** 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

warm, airway clearance  and 

Apgar score 

Performance of study group 

during  nursing care 

(umbilical cord, skin and eye) 

 

12.9±6.0 

 

79.5±2.4 

 

-20.6 

 

0.00** 

Performance of study group 

during  nursing care 

(Initiation of early breast 

feeding, given vitamin K) 

 

23±17.6 

 

84.9±5.1 

 

-19.8 

 

0.008*  

Performance of study group 

during measuring vital signs 

 

11.7±4.1 

 

82.3±1.7 

 

-27.5 

 

0.00** 

Performance of study group 

during measuring head and 

chest circumference weight 

and length newborn after 

birth 

 

12.8±6.1 

 

82.8±2.5 

 

-21.5 

 

0.00** 

Whereas, X = mean, t = t-test, SD = standard deviation. Sig. =Significant at p-value =  

0.05 

 

Data in table (4),  reveals that there was significant relationship between 

midwives’ pre and post practices with regard to their participation in training 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

program about assessment of immediate newborn care at (Sig. (2-tailed) 

0.01)). 

Table (5): Comparing between pre and post training program regarding 

midwives immediate care of newborn n= 96 

Item X±SD t Sig. (2-tailed) 

Pre total mean practice 14.5 ± 5.0  

-22.3 

 

0.00** Post total mean practice  80.8 ± 4.1 

Whereas, X = mean, t = t-test, SD = standard deviation. Sig. =Significant at p-value =  

0.05 

 

Data in table (5),  reveals that there was significant relationship between 

midwives’ pre and post practices with regard to their participation in training 

program about assessment of immediate newborn care at (Sig. (2-tailed) 

0.01)). 

Table (6): Distribution of study group according to their performance pre and 

post-testn= 96 

Nursing  

performance 

 

 

Level of  

performance 

 

Pre test 

 

Post 

test 

 

t 

 

Sig. (2-

tailed) 

 

Level of  

performance 

X±SD X±SD   

Good  

performance 

16.8±8.2 75.7±8.3 -

11.3 

0.00** 

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 IJO - INTERNATIONAL JOURNA

 ( ISSN: 2814-2098 )                                                                                   

https://ijojournals.com/                                

“Effect of Training Program on Midwives Practice Regard

 

Satisfied  

performance

Poor  performance

Whereas X = mean, t = t-test, 

value =  0.05,   

Data in table (6), reveals that there 

midwives’ performance from pre and post midwives  

their participation in training 

care at (Sig. (2-tailed) 0.00

 

Fig (2). Total mean score of midwives practice for done correctly, done no

correctly and not doe answers n

INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING 

                                                                                    Rabab Omer Mohammed Salih

                                                     Volume 08 || Issue 03 || March

Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022

 

Satisfied  

performance 

39.2±14.6 13.6±7.6 3.4 

Poor  performance 40.1±18.4 6.8±1.2 4.04

test, SD = standard deviation, Sig. =Significant at p

reveals that there was significant relationship between 

performance from pre and post midwives  practices with regard to 

their participation in training program about assessment of immediate newborn 

0.001)). 

ean score of midwives practice for done correctly, done no

correctly and not doe answers n= 96 

AND NURSING  
Rabab Omer Mohammed Salih

1
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March, 2025 || 

ing Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 

 0.008** 

4.04 0.004** 

, Sig. =Significant at p-

significant relationship between 

practices with regard to 

of immediate newborn 

 

ean score of midwives practice for done correctly, done not 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

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https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

Data in fig (2). Showed the total mean score of midwives practice for done 

correctly, done not correctly and not doe answers for pre and post midwives 

practice. The total mean score of post midwives practice were (79.2%, 40.6% 

and 7.3%) for the done correctly, done not correctly and not done respectively.  

DISCUSSION  

According to their Demographic Characteristics 

The current study showed that more than half of the participants (44.8%) were 

above forty years in age. Contradicted with findings were reported in other 

intervention study in Sudan, in Khartoum state (Rabab and Buthina. 2022) and 

found that the majority of their participants (74.5%) were aged 20–30 years. 

Also Mohammad, (2020) who found the specified age distribution of the respondents while 

revealing that the highest age group is between (20 – 29) years which made up(44.7%)of the 

study sample. All participants in this study were female which is similar to the 

findings of another study in Sudan, which showed that all neonatal care nurses 

(100%) in the NICU were female. This can be attributed to hospital polices 

(Babeker, Z. A., 2015). The results show that all midwives had got diploma 

certificate. Contradicted with Mohammad, (2020) the results show that half of the study 

participants were graduates of a secondary midwifery school. The current study showed 

that the highest percentage (52.5%) of study sample were attended training 

program in neonatal care. Similar results was found by Ali, (2022), 86% of 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

1
*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

nurse-midwives that they had taken training courses, 40 % was that they had 

taken 1-5 courses, and 24 % said they had taken 6-10 courses.While agreeing 

with Khudhair S.H.; (2014) who done studied of Evaluation Nurses' Practices, 

Neonatal Resuscitation in the Delivery Room,(100%) of the nurses in the study 

took Neonatal Resuscitation in the Delivery Room training courses in their own 

country. The majority (73.3 %) had attended training courses in labor and delivery 

care (Nuri and Ahmed, 2018). The study indicated the highest percentage is 

seen with more than 15 years among 52.5% of midwives while 35% have 6-11 

years of experience. Nuriy and Ahmed,(2018) findings in Erbil's City Maternity 

Teaching Hospital. More than half of the nurse/midwives (53.3 %) had 1–9 

years of experience in the labor room.  

Assessment of Midwives’ Practices about Immediate Care for Newborn 

The results of the study about the assessment of midwives’ practices showed 

that the total mean score of post midwives practice were (79.2%, 13.5% and 

7.3%) for the done correctly, done not correctly and not done respectively. 

Moreover, after the training intervention, the newborn care practice was 

improved in different relevant areas such as; maintain dry and warm for the 

newborn after birth, oral suctioning, nasal suctioning and Apgar score. These 

results were in agreed to similar study from Ethiopia (Sintayehu,et al., 2020) 

who reported that a considerable proportion of the nurses and midwives had 

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 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

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“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

improved newborn practices and skills. However, the improvement in our study 

was greater than some other studies, for example, in India (6.3%) (Devi S. 

2015). This might be due to the impact of the current focus of neonatal care 

service in the intervention material.  

The results of the study indicated that (14.5%) of the midwives showed a good 

performance and after implementation practice program and conducting the 

post-test, the midwives expressed good performance (80.8%). The current study 

indicated that there were high significant differences (P 0.01) in midwives’ 

practice at pretest and posttest before and after the implementation of practice 

program for study sample. Whereas, the total means were (80.8%) for posttest, 

as for pretest (14.5%). This result was agree with (Taghreed, 2019) found that 

the mean percentage of posttest graduates’ practices=88% and the pretest was 

at the moderate levels by (23.3%).And there was a high significant correlation between 

pretest and posttest (before and after the implementation of an educational and practice programs 

for study sample (Arba. A. Zana, 2020). 

CONCLUSION  

 

The study concluded that the midwives' practice showing poor to fair level skills before training 

practice program. However, after training program they showing good level practice skills 

regarding immediate care of newborn.  

 

 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

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https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

RECOMMENDATIONS 

Based on the conclusion the study recommended the following: 

 The researcher can conducted similar training program is required for 

midwives in-service education. 

 The health care Providers should be encouraged to upgrade their training 

program level to build their skill retention and expose themselves to 

newborn care.  

 Further, understanding factors affecting how midwives and nurses gain 

and retain skills using high-level methodology are essential 

 

REFERNCES  
 

Abdu H, Gebrselassie M, Abdu M, Mare KU, Tadesse W, Liben ML.; (2019). 

Knowledge and practice of immediate newborn care among midwives and 

nurses in public health facilities of Afar regional state, Northeast Ethiopia. BMC 

Pregnancy Childbirth. 2019;19(1):422. 

Ali, S. H., &Ghafel, H. H. (2022). Nurse-Midwives’ knowledge and practices 

about immediate newborn care. International Journal of Health Sciences, 6(S1), 

8915–8940. Retrieved from 

https://sciencescholar.us/journal/index.php/ijhs/article/view/7033 

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https://sciencescholar.us/journal/index.php/ijhs/article/view/7033


 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

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https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

Arba, A, Zana, Z. Knowledge of essential newborncare and associated factors 

among nurses and 

Midwives: a cross-sectional study at public healthfacilities in Wolaita Zone, 

Southern Ethiopia, 2019. International journal of pediatrics. 2020 : 1-8 

Babeker, Z. A. (2015).  Assessment of nurses knowledge and practice 

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Berhe A. K. ,Tinsae F. , ziabherG. G. ; (2017). Knowledge and practice of 

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health facilities, Tigray, Ethiopia, 2016, BMC Pediatr. 17 (1) (2017) 157. 

Devi S. (2015). A study to assess the effectiveness of Neonatal resuscitation 

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Khudhair S.H.;( 2014). Evaluation Nurses' Practices Toward Neonatal 

Resuscitation in the Delivery Room. Assistant Instructor, Pediatric Nursing 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

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https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

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Koru C (2013) Newborn care practices at home and in health facilities in 4 

regions of Ethiopia. BMC Pediatr 13:198 

Lazzerini M, Valente EP, Covi B, et al.; (2019). Use of WHO standards to 

improve quality of maternal and newborn hospital care: a study collecting both 

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Quality. 2019;8(1):e000525–e000525. doi:10.1136/bmjoq-2018- 000525 

 Mohammad, H. N. ;(2020). Nurse Midwives Knowledge Regarding Nursing 

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Nuriy L.A.M. & Ahmed; H.M.; (2018). College of Nursing, Sulaimaniya 

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Taghreed Mohammed Abu Hadaf1, Hamza Mohammed Abdeljawad, and 

Ayman Mustafa Abu Mustafa. (2019). The Effect of a Midwifery Educational 

Program on Graduates’ Knowledge, Attitudes, and Practices in Gaza Strip: 

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 IJO - INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND NURSING  
 ( ISSN: 2814-2098 )                                                                                    Rabab Omer Mohammed Salih

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*  

https://ijojournals.com/                                                     Volume 08 || Issue 03 || March, 2025 || 

“Effect of Training Program on Midwives Practice Regarding Immediate Care of Newborn on in Governmental Hospitals  Sinnar state. Sudan, 2022." 

 
 

 

Perception of Graduates. Pediatrics and Neonatal Nursing: Open Access. ISSN 

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Sintayehu Y, Desalew A, Geda B, Tiruye G, Mezmur H, Shiferaw K, et al. 

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Accessed 28 Jan 2019. 3. World Health 

 

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	Table (1): Demographic characteristics of study group n=96

