Factors Influencing Utilization of Non-Pneumatic Anti-Shock Garment in Managing Postpartum Hemorrhage Among Midwives in Primary Healthcare Centres in Ogun State

Postpartum haemorrhage is a global public health problem which is the most common cause of maternal mortality. NASG is a lifesaving device to control the bleeding, reverse the shock, and stabilize the patient for safe transport to a comprehensive obstetric care facility. However, despite the effectiveness of NASG in the management of postpartum hemorrhage, its utilization is influenced by many factors which could be knowledge, midwives attitude and hospital policy. In view of this, the study was conducted to identify factors influencing utilization of NASG in managing post-partum haemorrhage among midwives in primary healthcare centers in two selected local government areas (Ewekoro and Ado-Odo/Otta) of Ogun State. The study adopted a quantitative method using descriptive survey research design. Total enumeration was used to select 105 participants for the study. A self-designed questionnaire was used for data collection. Analysis of data was done using descriptive statistics while Pearson Product Moment Correlation was used for analysis of hypotheses at the 0.05 level of significance. The findings of the study revealed that the knowledge of midwives on non-pneumatic anti-shock garment for the management of postpartum hemorrhage was high (82.2%), attitude of midwives towards utilization of NASG was good (80.3%), utilization of NASG however was poor (36.4%). Result also revealed significant relationships between the midwives' knowledge (r = -.789, p = .000), attitude (r = -.537, p = .000) and their utilization of non-pneumatic anti-shock garment in the management of postpartum hemorrhage. Therefore, the researcher recommends that there should be periodic training of nurse-midwives on the use of the non-pneumonic anti-shock garment in management of postpartum haemorrhage.

Keywords: Attitude, Knowledge, Midwives, NASG, Postpartum haemorrhage, Utilization,