Capacity building for nurses and midwives in the effective management of post-partum hemorrhage in a tertiary healthcare facility, Ghana
View File(s)
PDF (2.199Mb)
PDF (124.3Kb)
Author Information
- Author(s)
- Details
-
Eugenia Naa Atswei Doku, Greater Accra Regional Hospital, Ridge - Accra, Ghana –West Africa. Vida Amina Yakubu, Greater Accra Regional Hospital, Ridge - Accra, Ghana –West Africa. Dr. Mary Ani-Amponsah, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra - Ghana, West Africa. Prof. Lydia Aziato, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra - Ghana, West Africa
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Doku, Eugenia Naa Atswei by View
Title | Page Views |
---|
Popular Works for Doku, Eugenia Naa Atswei by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Background: Post-partum haemorrhage (PPH) is a major obstetric emergency and a direct cause of maternal deaths worldwide. Of the 14 million cases of obstetric haemorrhages that occur each year globally, PPH is the most complex but commonest cause of mortality. In Ghana, PPH is the leading cause of maternal mortality. However, frontline healthcare providers do not have adequate skills to manage this obstetric emergency. Therefore the Purpose of this quality improvement project is to build the capacity of nurses and midwives in the effective management of PPH. Methods: Pre-test on midwives and nurses’ knowledge was conducted using a questionnaire followed by 2 days training and skill acquisition sessions on the standard PPH management protocol. The sessions focused on partograph usage, active management of the third stage of labour, appropriate estimation of blood loss, bimanual compression, and condom tamponade. This was followed up with a post-test, as well as ongoing implementation of the protocols. Results: Of the 99 (N = 99) midwives and nurses trained in the effective management of PPH, 75% had prior knowledge of the existence of the standard PPH management protocol. Whilst 57.9% of the respondents had expert knowledge on application of the standard PPH management protocol, 68% had very good knowledge on the PPH management protocol adherence; and 6% had fair knowledge on the protocol application. At the end of the training and skill acquisition sessions, 89% of the participants applied the protocols effectively whilst 11% demonstrated moderate efficiency in PPH management. Conclusions: The study findings establish the need for further research into midwives and nurses’ non-adherence to the standard PPH management protocol in daily practice. Obstetric care managers need to intensify monitoring and evaluation on adherence to PPH management protocol. Implications: Policy directives for newly qualified midwives and nurses on PPH protocol adherence relating to high-risk women in emergency situations need to be established. Healthcare administrators must ensure optimal orientation for newly posted frontline healthcare providers, and supervision of obstetric staff in birth settings and continuum of care. Sustainable training of midwives, nurses, and medical doctors is needed on birth complication readiness and lifesaving skills in satellite clinics and all birth settings.
Funder(s)
Repository Posting Date
2019-09-17T18:36:02Z
Type Information
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Faculty/Mentor Approved: Sigma Academy Participant Presentation |
Format | Text-based Document |
Category Information
Evidence Level | Quality Improvement |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Maternal-Child Health; Post-Partum Hemorrhage; Leadership Development |
Conference Information
Name | Inter-professional Education and Collaborative Practice for Africa conference |
Host | WHO Regional Office for Africa; Africa Interprofessional Education Network (AfrIPEN); Sigma Theta Tau’s International Tau Lambda at-Large Chapter; WHO-FIC Collaborating Centre for the African region; Amref International University. |
Location | Nairobi, Kenya |
Date | 2019 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Preventing malnutrition in children under 5-years using affordable local foods at a referral hospital, Ghana
Owusu, Lydia; Arko, Lorraine; Ani-Amponsah, Mary; Aziato, LydiaBackground: Malnutrition is a universal problem that affects children under-five years and a major cause of death in children worldwide. About 60% of the 10.2 million annual mortality rates of children under-five years ... -
Midwives Exclusive Guideline Development Project
Jordaan, Christel; Dekock, Joanita (2018-05-29)Anecdotal evidence suggests that private midwifery is becoming more popular in South Africa. Midwives Exclusive is a midwifery practice in Pretoria with the philosophy of offering women-centered maternity care. Women-centered, ... -
Infection reduction during the second stage of labour: Improving the practice of aseptic technique by midwives in a national referral hospital
Vilakati, Mandlenkosi; Masuku, Sakhile; Tagutanazvo, Oslinah Buru (2018-05-29)Background: Puerperal sepsis following childbirth constitutes the second leading cause of maternal mortality world-wide and has been partly attributed to contamination during the process of childbirth. Puerperal infection ... -
Realities of post-operative pain management in Ghana: Evidence from method and participant triangulation
Aziato, Lydia (2016-03-21)Session presented on Sunday, November 8, 2015: Introduction: Post-operative pain has been a problem over the years for many countries including Ghana. Thus patients continue to experience moderate to severe post-operative ... -
Leadership development: Post-partum haemorrhage in non-obstetrical wards
van Jaarsveld, Miemie; Boer, Francina; Minnie, Karin C. S. (2017-02-14)Why the Project: During January – July 2011, postpartum patients where admitted in non-obstetrical wards, due to the high bed occupancy in the obstetric department. Although there were no Maternal Deaths in Klerksdorp ...