ENHANCING KNOWLEDGE OF TRADITIONAL BIRTH ATTENDANTS FOR THE IDENTIFICATION OF SELECTED LABOR EMERGENCIES

ENHANCING KNOWLEDGE OF TRADITIONAL BIRTH ATTENDANTS FOR THE IDENTIFICATION OF SELECTED LABOR EMERGENCIES

Author by Prof. Christiana Sowunmi

Journal/Publisher: African Journal Of Health, Nursing And Midwifery

Volume/Edition: 4

Language: English

Pages: 1 - 14

Abstract

Objectives: In Nigeria, the number of

professional midwives available for care of pregnant women and

their babies is inadequate; hence, most pregnant women are

attended to by Traditional Birth Attendants (TBAs). Studies show

that TBAs have poor knowledge of how to identify obstetrics

complications. Aim: To determine the effectiveness of a training

program on enhancing the knowledge of TBAs in the

identification of some selected labor emergencies. Materials and

Methods: An experimental research design was conducted with

probability sampling to select sample size (n = 111 TBAs). A

modified, structured questionnaire from TBAs knowledge on

identification of labor emergencies (TBAs-TPKI) was used for

data collection. Data collected were analyzed using Statistical

Packages for the Social Science (SPSS) software. Descriptive

statistics were used to provide answers to the six research

questions of the study while inferential statistics of paired t-test

was used to test the hypothesis of the study at 0.05 level of

significance. Results: The results show that the mean score on

knowledge identification on prolonged labor increased from

4.88±2.54 to 11.56±1.48; obstructed labor from 4.18±2.18 to

5.73±1.26, cord presentation from 2.44 ±1.27 to 5.78 ± 0.74,

cord prolapse from 2.79±1.45 to 6.60±0.84, placenta abruptio

from3.83±1.99 to 9.08±1.16 and postpartum hemorrhage from

3.48±1.82 to 8.26±1.05. The overall mean score of TBAs on

knowledge of identification increased from 21.59 ± 11.26 to

51.19 ± 6.54 post-intervention. There was a significant

difference between pre- and post-intervention mean scores of

knowledge of TBAs on the identification of all the selected labor

emergencies (t = 32.208, p = 0.00). Conclusions: The Ministry

of Health in each state should organize regular training for

TBAs to target early identification of obstetrics emergencies in

order to reduce maternal mortality in Nigeria.


Other Co-Authors