Postpartum Hemorrhage-Specific Self-Efficacy Among Obstetric Healthcare Providers in a Tertiary Care Hospital: An Analytical Cross-Sectional Study

Background/Objectives: Postpartum hemorrhage (PPH) remains a major obstetric emergency requiring rapid clinical decision-making, timely intervention, and effective teamwork. Healthcare providers’ self-efficacy is an important factor in perceived confidence and preparedness for managing PPH. This study aimed to determine the PPH-specific individual and collective self-efficacy levels of obstetric healthcare providers working in a tertiary care hospital and to examine associated sociodemographic and professional factors. Methods: This analytical and cross-sectional study was conducted among 149 physicians, midwives, and nurses working in obstetrics and gynecology units between 2 and 30 March 2026. Data were collected using a Personal Information Form and the Postpartum Hemorrhage-Specific Self-Efficacy Scale (PHSSES). Descriptive statistics, Mann–Whitney U test, Kruskal–Wallis test, and Spearman correlation analysis were used. Results: The mean PHSSES total score was 6.69 ± 0.81, while the mean individual self-efficacy and collective efficacy subscale scores were 6.34 ± 1.00 and 6.90 ± 0.88, respectively. PHSSES total scores differed significantly according to obstetric clinical experience (p < 0.05). The self-efficacy subscale was associated with several professional and clinical characteristics, including profession, working unit, obstetric clinical experience, PPH exposure, and previous PPH training (p < 0.05). Weekly working hours were positively correlated with PHSSES total and both subscale scores (p < 0.05). The most frequently reported PPH interventions were manual uterine massage and uterotonic drug administration. Conclusions: Obstetric healthcare providers demonstrated high PPH-specific self-efficacy, with collective efficacy exceeding individual self-efficacy. Individual self-efficacy was associated with professional and clinical characteristics, including PPH experience and previous training. The findings may inform targeted interdisciplinary training strategies for PPH management.