Tag Archives: Midwives

Factors Influencing Utilisation of Non-Pneumatic Anti-Shock Garment in The Management of Postpartum Haemorrhage Among Midwives in Ekiti State (Published)

Postpartum haemorrhage (PPH) is one of the leading causes of death among women especially in developing nations which can be managed through the use of non-pneumatic anti-shock garment (NASG). This study was aimed at evaluating the Utilization of NASG in the management of PPH among midwives in Ekiti State. This study adopted an embedded mixed method design. Purposive sampling technique was used to select six health facilities in Ekiti State and a total of 164 midwives participated in the quantitative study and 11 midwives in the qualitative study. Data were collected using self- structured questionnaire and interview guide. Results from the study shows that Midwives mean age was 37 ± 7.64, more than half 65.9% had (NASG) in their facilities, 54.3% have applied NASG on their patients, this corroborates with the result of the interview where majority showed adequate utilization, occasional utilization and awaiting approval for utilization. It was observed that Midwives’ don’t utilize NASG as a result of availability of other methods of controlling PPH 88.8%, non-availability of the garment 53%t, and Inaccessibility to NASG 48.8%, 36,4% indicated staff training challenge and alternative to NASG utilization 36.4% as the major factors influencing the utilization, this also corroborate with the result from the key informant interview, It was noted that the utilization of NASG was influenced by its availability as the p value gotten was 0.01 which is lesser than 0.05. Conclusively, the utilization of NASG for the management of PPH was on the average.

Keywords: Midwives, Non pneumatic anti-shock garment, Postpartum haemorrhage, Utilization

Improving Focused Antenatal Care and Counselling Practices among Health Facilities in the Effutu Municipality (Published)

Counselling practices during focused antenatal care are considered an effective strategy to improve pregnancy outcome. Using the Explanatory design of mixed method approach, 369 women who have ever attended antenatal care and gave birth in the health facilities, opinion leaders in the communities and practicing midwives within the Effutu Municipality were sampled randomly and purposively. Two research questions were formulated and were analysed using Mean, Standard Deviation and Spearman’s Correlation Coefficient. The study revealed that the general perception of women in the municipality was that counselling during FANC was not effective and that reasons for counselling implementation gaps were: poor communication, negative midwives’ attitudes, lack of knowledge and experience of midwives in counselling, poor time management and uncooperative client behaviour. The study recommended that Midwives, the ministry of health and the Ghana health service should improve accessibility to antenatal services and the municipal health directorate and the midwife should improve midwives’ knowledge and skills in antenatal counselling and focused antenatal services as a whole. Finally, a model was developed to improve counselling during focused antenatal care.

Keywords: Counselling practices, Counsellor, Focused antenatal care, Midwives