BACKGROUND:
Pre-eclampsia, a leading cause of maternal morbidity and mortality globally, poses significant challenges particularly in low- and middle-income countries (LMICs). Magnesium sulphate (MgSO₄) is the recommended anticonvulsant for severe cases, yet its consistent use remains problematic in settings like Ghana. In Ghana, midwives administer magnesium sulphate for pre-eclampsia and eclampsia as part of their scope of practice, fulfilling a key Basic Emergency Obstetric and Newborn Care (BEmONC) signal function. However, their roles, practices, and perspectives remain largely understudied.

OBJECTIVES:
This study explored midwifery practices, experiences, and contextual challenges related to magnesium sulphate use in pre-eclampsia care in Ghana.

METHODS:
A qualitative descriptive study was conducted in Ghana's largest tertiary healthcare facility. Data were collected through WhatsApp interviews with 35 midwives actively involved in maternity care. Thematic analysis was used to identify recurring patterns and contextual factors influencing the use of MgSO₄ by midwives.

RESULTS:
Midwives gain proficiency in magnesium sulphate administration mainly through clinical experience, boosting their confidence and skills. However, gaps in pre-service education mean many midwives lack foundational knowledge of magnesium sulphate use, with in-service training helping to fill these gaps. Systemic challenges like resource shortages still hinder consistent care. Nevertheless, midwives stress the urgent need for ongoing training and stronger health system support.

CONCLUSIONS:
The study highlights the critical role midwives play in administering MgSO₄ for pre-eclampsia care in LMIC settings such as Ghana. Addressing systemic barriers and enhancing training opportunities for midwives are crucial steps towards improving maternal health outcomes.

KEY MESSAGE:
Globally, magnesium sulphate use remains suboptimal for pre-eclampsia care, particularly in low resource settings. Effective use of magnesium sulphate in pre-eclampsia care depends on strengthening midwifery education, enhancing in-service training, and addressing health system challenges in LMICs. Poster session 3 (Group B)