Table 4.
Knowledge About COVID-19 Management Practices.
| Knowledge assessment (N = 85) | Correct answer | Correct score n (%) |
|---|---|---|
| Mother to child transmission of COVID-19 can occur through: | ||
| Blood transfusion | No | 66 (77.6) |
| Amniotic fluid | No | 68 (80.0) |
| Breastmilk | No | 58 (68.2) |
| Saliva | Yes | 65 (76.5) |
| Urine | No | 79 (92.9) |
| When conducting triage of an antenatal client, the nurse/midwife should: | ||
| Maintain at least a 1-meter distance from the client | Yes | 64 (75.3) |
| Wear a medical face mask | Yes | 72 (84.7) |
| Sanitize frequently and after contact with each client | Yes | 74 (87.1) |
| Wear full PPE | No | 63 (74.1) |
| Wear gloves | Yes | 51 (60) |
| The following statements are true about the management of a pregnant woman with suspected COVID-19: | ||
| Antenatal screening should be suspended to allow treatment of COVID-19 | False | 68 (80) |
| Pregnancy danger signs should be included as part of antenatal education | True | 71 (83.5) |
| All pregnant women should continue with monthly antenatal clinic visits | True | 46 (54.1) |
| The following is true when caring for a woman in labor: | ||
| Triage criteria should include assessment for conditions that may exacerbate COVID-19 | True | 75 (88.2) |
| Birth partners should be encouraged to accompany the woman into the delivery room | False | 61 (71.8) |
| A COVID-19 suspected/positive mother should wear a medical mask during the entire labor process | True | 72 (84.7) |
| General anesthesia is recommended for a COVID-19 suspected or positive mother | False | 77 (90.6) |
| When conducting delivery for a woman with suspected COVID-19, the midwife should don the following PPE: | ||
| Gloves | Yes | 77 (90.6) |
| Medical mask | Yes | 71 (83.5) |
| Gown | Yes | 78 (91.8) |
| Goggles | Yes | 73 (85.9) |
| Face shield | Yes | 74 (88.1) |
| Coverall | Yes | 53 (62.4) |
| Head cover | Yes | 68 (80) |
| Rubber boots | Yes | 75 (88.2) |
| Heavy-duty gloves | No | 67 (78.8) |
| The following is correct about postnatal care for women during the COVID-19 pandemic: | ||
| COVID-19-negative women who deliver through SVD should be kept for no more than 24 h for observation before discharge | True | 62 (72.9) |
| Postpartum family planning should be encouraged before a woman leaves the hospital | True | 50 (58.8) |
| Surgical contraceptives should be delayed until COVID-19 is resolved | True | 17 (20) |
| Low-risk postpartum women should be reviewed at 6 weeks (SVD) and 2 weeks (CS) | True | 67 (78.8) |
| The following statements are true regarding the care of a COVID-19-positive mother: | ||
| COVID-19-positive mothers should be separated from their infants after birth | False | 64 (75.3) |
| Breastfeeding initiation should be delayed until the mother has washed her hands and breasts with soap and water | True | 41 (48.2) |
| A COVID-19-positive mother can breastfeed her newborn if she is wearing an N95 mask | True | 61 (71.8) |
| A COVID-19 positive mother can express breast milk | True | 60 (70.6) |
| Women with comorbidities should be accorded individualized care | True | 65 (76.5) |
| Average score | 74.2% (SD = 14.8) | |
PPE = personal protective equipment; SVD = spontaneous vaginal delivery; SD = standard deviation.