Nursing Intervention on the Midwives’ Skills in the Management of Postpartum Haemorrhage in Selected Secondary Health Facilities in Ondo State, Nigeria
Pregnancy and delivery are supposed to be a safe process when well-managed, but a number of times it is complicated with major health risks one of which is postpartum haemorrhage (PPH). This study assessed nursing intervention on midwives’ knowledge and skills in the management of Postpartum Haemorrhage.
Pretest-posttest quasi-experimental research design was adopted. Total enumeration method was used in recruiting 68 midwives in the two randomly selected secondary health facilities in Ondo State. 37 midwives in State Specialist Hospital Akure formed the experimental group while 31 midwives in State Specialist Hospital Ondo formed the control group. A developed questionnaire and rating scale were used to collect data. Face and content validity was determined and reliability was ascertained using spearman correlation statistical procedure which was calculated to be 0.91 and 0.83 respectively. Data obtained w analyzed using the statistical package for social sciences (SPSS), version 21. Descriptive analysis was used to provide answers to the six research questions while inferential statistics of student’s t-test was utilized to provide answers to the four hypotheses generated at 0.05 level of significance.
Mean knowledge score in the use of misoprostol increased from 8.89±2.57 to 14.73±2.30 post intervention, mean knowledge score in the use of NASG increased from 12.24±5.05 to 20.32±1.61, the application skills on NASG increased from 6.32±4.97to 17.14±0.95 post intervention in experimental group. Hypothesis result shows that there is no significant difference in the pre intervention knowledge of misoprostol and NASG use in the management of PPH in both groups (p=0.06), there is significant difference in the post intervention knowledge of misoprostol and NASG use in the management of PPH in the both groups (p=0.01), there is a significant difference in the pre and post intervention knowledge of misoprostol use in the management of PPH in the experimental group (p=0.01) and there is a significant difference in the pre and post intervention practice of NASG use in the management of PPH in the experimental group (p=0.01).
In conclusion, nursing intervention improved the skills of midwives in the use of misoprostol and NASG. It is recommended that midwives should be exposed to regular training and hands on practice on the use of misoprostol and NASG in the management of PPH.
Keywords: Knowledge, Nursing Intervention, postpartum haemorrhage, Non-pneumatic Anti-shock garment, Misoprostol.