Midwives’ knowledge and utilization of non-pneumatic anti shock garment in reducing complication of postpartum haemorrhage in selected health care facilities in Bayelsa state Nigeria
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20150410Keywords:
Knowledge, Midwives, Utilization, Non pneumatic Antishock garment, Post-partum hemorrhageAbstract
Background: Non-pneumatic anti-shock garment (NASG) is a first-aid lower-body pressure device that reverses hypovolaemic shock and decreases obstetric hemorrhage thereby decreasing maternal morbidity and mortality due to post-partum haemorrhage (PPH).This study assessed the knowledge and utilization of non-pneumatic anti shock garment in the management of postpartum hemorrhage among midwives in selected health care facilities in Bayelsa state.
Methods: This is a descriptive cross-sectional study in which a sample size of 112 nurses were selected using purposive sampling technique. The instrument for data collection was questionnaire and data collected were analyzed using descriptive and inferential statistics.
Results: The study revealed that majority of the respondents regardless of their educational level had good knowledge of the description, mechanism of action, and uses of NASG. It was also revealed that majority of the respondents do not use NASG in their centers and its application in management of post-partum hemorrhage was not part of the protocols in these centers, which was a clear indication of underutilization of the NASG in the primary health care centers. There was no significant association found between years of working experience of respondents and their utilization of NASG with (X2 = 8.577, df = 2, P = 0.114) as well as between the level of knowledge of midwives and their utilization of the NASG with (X2 = 0.387, df = 1, P = 0.534).
Conclusions: It was recommended that non-pneumonic antishock garment should be made available by government and its utilization should be included in all health care centers policy as a management protocol for post-partum hemorrhage.
Metrics
References
WHO, UNICEF, UNFPA. Maternal mortality in 2000. In: WHO, eds. Estimates developed by WHO, UNICEF and UNFPA. Geneva: WHO; 2004.
Knight M, Callaghan WM, Berg C, Alexander S, Bouver-Colle MH, Ford JB, et al. Trends in post-partum hemorrhage in high source countries: a review and recommendation from the International PPH Collaborative Group. BMC Pregnancy Childbirth. 2009;9:55.
Hogan, Margaret C, Foreman, Kyle J, Naghavi M, Ahn SY, et al. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet. 2010;375(9726):1609-23.
Tsu VD, Shane B. New and underutilized technologies to reduce maternal mortality: call to action from a Bellagio workshop. Int J Gynaecol Obstet. 2004;85(Suppl 1):S83-93.
Ojengbede OA, Morhason-Bello IO, Galadanci H, Meyer C, Nsima D, Camlin C, et al. Assessing the role of the non-pneumatic anti-shock garment in reducing mortality from postpartum hemorrhage in Nigeria. Gynecol Obstet Invest. 2011;71(1):66-72.
Turan J, Ojengbede O, Fathalla M, Mourad-Youssif M, Morhason-Bello IO, Nsima D, et al. Posture effects of the non-pneumatic anti shock garment on delay, in accessing care of post-partum and post abortion hemorrhage in Egypt and Nigeria. J Womens Health (Larchmt). 2011;20(1):91-8.
Miller S, Ojengbede A, Turan JM. Anti-shock garments for obstetric hemorrhage. Curr Women’s Health Rev. 2007;3(1):3-11.
Ojengbede OA, Morhason-Bello IO, Galadanci H, Meyer C, Nsima D, Camlin C, et al. Assessing the role of the non-pneumatic anti-shock garment in reducing mortality from postpartum hemorrhage in Nigeria. Gynecol Obstet Invest. 2011;71(1):66-72.
Miller S, Hensleigh P. Non-pneumatic anti-shock garment for obstetric hemorrhage. In: B-Lynch C, Keith L, LaLonde A eds. An international Federation of Obstetrics and Gynecology (FIGO) Book. Postpartum Hemorrhage: New Thoughts, New Approaches. London, UK: Sapiens Publications; 2009: Chapter 14.
Hensleigh PA. Anti-shock garment provides resuscitation and haemostasis for obstetric hemorrhage. BJOG. 2002 Dec;109(12):1377-84.
Onasoga Olayinka A, Awhanaa Akpomeyoma T, Amiegheme Felicia E. Assessment of knowledge of strategies used in the prevention and management of postpartum hemorrhage by midwives in Bayelsa Nigeria. Arch Appl Sci Res. 2012;4(1):447-53.
Olowokere AE, Adekeye OA, Ogunfowokan A, Olagunju OE, Irinoye OO. The prevalence, management and outcome of primary postpartum haemorrhage in selected health care facilities in Nigeria. Int J Nurs Midwif. 2013;5(3):28-34.
John D, Catherine T. Assessment: the impact of the anti-shock garment on maternal mortality McArthur Foundation, 2013. Available at: http://www.macfound.org/media/files/AntiShockGarment-Summary.pdf.
