Influence of nursing interventions in improving midwives' knowledge of misoprostol use in the management of postpartum haemorrhage at selected hospitals in Ondo State, Nigeria.
Nursing educational intervention
knowledge
midwives
misoprostol
postpartum haemorrhage
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2021
2021
Historique:
received:
17
02
2019
accepted:
31
10
2021
entrez:
18
2
2022
pubmed:
19
2
2022
medline:
22
2
2022
Statut:
epublish
Résumé
despite large investments in maternal health services in the world, postpartum hemorrhage (PPH) remains a major cause of maternal mortality. Misoprostol is the most available, accessible, and affordable uterotonic agent in the management of the third stage of labor and has been found to be effective in PPH prevention in low-income countries. This study, therefore, assessed the influence of nursing interventions improving midwives´ awareness of misoprostol use in the management of PPH at selected health facilities. we conducted a quasi-experimental study in two secondary health institutions in Ondo State. A total of 68 midwives, who consented to participate, were randomly distributed into experimental and control groups respectively. A questionnaire was administered for obtaining information about participants´ knowledge and use of misoprostol in the management of PPH. Midwives in the intervention group were trained using the adapted Pathfinder International Teaching Package on the use of misoprostol in the management of PPH. Data were analyzed using descriptive and inferential statistics. in the pre-intervention phase, the mean knowledge score of the control group was 7.55 ± 2.57 while that of the experimental group was 8.89 ± 2.57. There was a significant increase in the number of participants knowing the correct dose of misoprostol for the management of PPH after intervention (27.0% vs 81.1% p=0.01). After intervention, there was a significant increase (p=0.01) in knowledge of misoprostol use in the intervention group compared to the control group (14.73 ± 2.57 vs 8.89 ± 2.57). misoprostol educational intervention was effective in improving knowledge and use of misoprostol. Hence, continuing educational units in hospitals should include periodic training of midwives on the use of misoprostol in PPH prevention.
Identifiants
pubmed: 35178149
doi: 10.11604/pamj.2021.40.238.18474
pii: PAMJ-40-238
pmc: PMC8817193
doi:
Substances chimiques
Oxytocics
0
Misoprostol
0E43V0BB57
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
238Informations de copyright
Copyright: Olufunke Mercy Iwaola et al.
Références
BJOG. 2017 Apr;124(5):723-726
pubmed: 27885797
Singapore Med J. 2010 Mar;51(3):207-11
pubmed: 20428741
Lancet. 2006 Oct 14;368(9544):1377-86
pubmed: 17046470
Arch Gynecol Obstet. 2009 Dec;280(6):945-52
pubmed: 19306012
Med J Armed Forces India. 2001 Apr;57(2):107-9
pubmed: 27407309
Hematology Am Soc Hematol Educ Program. 2015;2015:132-7
pubmed: 26637712
Cochrane Database Syst Rev. 2000;(2):CD000941
pubmed: 10796223
Cochrane Database Syst Rev. 2000;(2):CD001338
pubmed: 10796260
Int J Gynaecol Obstet. 2006 Jan;92(1):10-8
pubmed: 16309682
Obstet Gynecol. 2017 Oct;130(4):e168-e186
pubmed: 28937571