Knowledge, Attitudes, and Practices of Midwives Regarding Obstetric Fistulas in Brazzaville

Objective: Analyze the knowledge, attitudes, and practices of midwives regarding obstetric fistulas in Brazzaville. Population and Methods: Analytical CAP study, conducted from May 10 to September 10, 2024 (04 months), non-probabilistically including midwives on duty in birthing units and outpatient clinics with at least 12 months of practice. Study variables were related to socio-professional characteristics, knowledge, attitudes and practices. Results: Two hundred midwives were interviewed. They had an average age of 36.5 ± 9.1, with a secondary level of education (58.5%), and had been practising for more than 5 years (52.5%). They had sufficient knowledge (73%), harmful ignorance in 13.7% of cases, with different levels of certainty; appropriate attitudes (94.5%), and poor practices (55.5%). Length of practice influenced knowledge (P = 0.001). Knowledge influenced attitudes (P = 0.001). Knowledge and attitudes influenced practice (P Conclusion: Midwives’ skills-based approach to obstetric fistula training would help improve their practices.