Effect of Training Midwives on the Utilisation of Partograph in General Hospitals in Ogun East Senatorial Districts
Maternal mortality continues to be a global burden worldwide. Each year, more than 200 million women become pregnant and a large number of mothers die as a result of complications of pregnancy or childbirth. Nigeria is still one of those developing countries with high maternal mortality ratio and child mortality rate, estimated at 340/100,000 and 21/1000 live births respectively. The World Health Organisation (WHO) has recommended the use of partograph to monitor labour and delivery, in order to improve healthcare and reduce maternal and foetal mortality rate.
The study examined the effect of training midwives on the utilisation of panrtograph in general hospitals in Ogun east senatorial districts; quasi-experimental design was used for the study. The study used two groups- intervention and control groups using right inclusion and exclusion criteria. The entire population comprised of 45 midwives providing obstetric care in the labour ward. A structured questionnaire which contained close ended questions was used to elicit information from the participants. Face and content validity of the instrument were determined while their reliability indices of 0.75 and 0.86 respectively were established using split-half test and spearmen brown’s formula. Statistical package for the social sciences (SPSS) version 22.0 was used for the statistical analysis and a coding of variables in this quantitative research was utilised for better interpretation of results. Descriptive analysis (frequency, percentage, mean and standard deviation) was used to analyze the demographic characteristics of the participants. t-test was used to determine the difference in mean score of pre and post-test of the sampled midwives in the selected general hospitals.
The study showed that 45(100.0%) of the participants where all female midwives, (82.2%) of the participants where within the ages of 30 and 49, 27(60.0%) of the participants where registered midwives. The t-test result indicate that there is no statistically significant difference between intervention group and control group prior to partograph training intervention (t=-2.375; p>.05). It also indicate that there is a statistically significant difference between intervention group and control group immediately after partograph training intervention (t=-1.5.46; p<.0.5).
It was concluded that intervention training enhanced the knowledge and skills midwives in the use of partograph. Therefore it was recommended that midwives should be exposed to regular in-service training on the use of partograph to monitor the progress of labour. Hence, it is important that nurses and midwives are empowered with necessary knowledge and skills that are linked to job responsibilities and roles.
Keywords: Effectiveness, Training, Midwives, Partograph, Utilisation.