Nurse-Led Intervention On Management of Postpartum Haemorrhage Among Midwives in Selected Secondary Health Facilities in Ondo State, Nigeria

Postpartum Haemorrhage (PPH) causes a significant amount of morbidity and mortality among mothers giving birth in sub-Saharan Africa, Nigeria included. One root cause is the insufficient health worker skills to address postpartum haemorrhage. This study therefore was a nurse-led intervention on management of postpartum haemorrhage among midwives in selected secondary health facilities in Ondo State, Nigeria. A quasi-experimental research design pre-test and post-test two groups was used, and a sample size of 83 respondents were selected using simple random sampling technique. A self-designed questionnaire was used for data collection, which was pilot tested through test-re-test and yielded a reliability coefficient (index) of 0.723. Analysis of data was done using descriptive statistics and t-test statistical analysis at 0.05 level of significance. The findings of the study revealed that the skill level of midwives in control and experimental groups on the manual removal of placenta and use of NASG in the management of PPH was poor in the experimental and control groups. Going through the skill mean scores, there was a significant difference between post intervention mean score in the experimental group on manual removal of placenta (N = 66, Mean = 21.988, Std. dev. = 1.013) and the control group (N = 17, Mean = 9.621, Std. dev. = 6.429). The skill mean scores on use of NASG revealed a significant difference between post intervention mean score in the experimental group (N = 66, Mean = 16.921, Std. dev. = 2.523) and the control group (N = 17, Mean = 8.809, Std. dev. = 3.100). In conclusion the intervention study and the training programme had empowered the midwives to acquire more skills of the use of NASG and manual removal of placenta. Therefore, it is recommended that an annual education and training update manual removal of placenta as a measure of controlling postpartum haemorrhage including practical assessment and demonstrate competency. Keywords: Nurse-led Intervention, Midwives, Postpartum Haemorrhage, Skills