P-22 A study on knowledge, attitude and practice (KAP) of mothers regarding antenatal care, labor, delivery and postpartum hemorrhage in Region 3, Guyana
Author(s):
F Khan, F Looknauth, D Boodhoo, O Gibson, A Frank
Type Of Study:
- Mixed Methods
- Observational Study
Year of Presentation:
2026
Objective: The study assessed the knowledge, attitudes,
and practices (KAP) of pregnant women regarding antenatal care (ANC), labor, delivery, and postpartum hemorrhage
(PPH) at the High-Risk Antenatal Clinic of West Demerara
Regional Hospital, Region 3, Guyana. It also examined
associations between sociodemographic factors KAP outcomes.
Methods: A cross-sectional mixed-methods study was conducted among 250 pregnant women using convenience sampling. Quantitative data were collected through face-toface interviews with a structured questionnaire assessing sociodemographic characteristics, knowledge, attitudes, practices, and post-partum haemorrhage (PPH) awareness. Knowledge and practice were scored on 10-point scales, while attitudes were measured using a 12-item Likert scale. Descriptive statistics summarized the data, and chi-square tests assessed associations. Qualitative data from focus group discussions were thematically analyzed.
Results: The mean knowledge score was 6.5 (SD = 1.66), with 57.2% of participants demonstrating good knowledge. Attitudes were largely positive ( mean 26.5, SD = 3.07), and 78% showing favorable attitudes. Practices were generally adequate (mean score of 7.24, SD = 1.96), and 50.8% reporting good practices. However, awareness of PPH waslow: 36.8% had heard of PPH, and just 8.8% recognized it as a serious obstetric emergency, despite widespread support for preventative measures (96% ). Knowledge was significantly associated with age (p=0.030) and employment status (p=0.026), with higher scores among older and employed women.
Conclusion: While KAP related to ANC were generally satisfactory, significant gaps in PPH awareness persist, highlighting the need for targeted maternal health education on obstetric emergencies.