training for early-onset pre-eclampsia risk factor screening to improve midwives’ knowledge in primary care

Background: screening for maternal risk factors by primary health providers is essential for managing early-onset pre-eclampsia (eope) and reducing maternal and fetal morbidity and mortality. effective prevention requires well-trained healthcare professionals, particularly midwives, but knowledge gaps remain key barriers to optimal management. objectives: the present study aimed to assess the level of improvement in midwives’ knowledge after training in eope risk factor screening. methods: this quasi-experimental study employed a pretest-posttest design and prospectively enrolled a convenience sample of 85 midwives from banyumas city, central java, indonesia. a non-probability consecutive sampling technique was used. the study was conducted in october 2021. training was delivered over 2 days using case-based learning, consisting of four sections: material presentation, material discussion, scenario presentation, and scenario discussion. two scenarios were included. knowledge was assessed using a validated and reliable researcher-developed questionnaire. mcnemar and wilcoxon tests were used for statistical analysis. results: training in eope risk factor screening significantly improved midwives’ knowledge, with a 57.6% increase in overall scores (p < 0.001). almost all participants (98.8%) demonstrated marked improvement in recognizing eope risk identification criteria (p < 0.05). conclusion: early-onset pre-eclampsia risk factor screening training is essential for enhancing midwives’ knowledge and supporting timely preventive care in primary settings.