Systematic Review On the Development of a Capacity Building On Labour Pain Management Among Midwives in Ekiti State (Published)
Labour pain management is crucial for a comfortable childbirth experience. A range of options, including epidural anesthesia, breathing techniques, massage and positional changes, are available for managing labour pain. Factors such as maternal preference, stage of labour and medical conditions are considered when choosing the right approach. Effective labour pain management benefits both the mother and baby. This systematic review is aimed to identify best practices and gaps in managing labour pain and to provide recommendations for a comprehensive and effective capacity building program. The review analyzed relevant literature and data sources to assess the current state of midwifery education and practice in labour pain management. The results of the review indicate a need for a comprehensive and multi-faceted capacity building program that includes hands-on training, mentorship, and ongoing professional development opportunities for midwives. The study concludes that a well-designed and well-implemented capacity building program on labour pain management can improve the quality of care for mothers and newborns and enhance the competencies of midwives in Ekiti State.
Keywords: Capacity building, Competencies, Midwives, labour pain management, maternal care, neonatal care
Factors Influencing Utilisation of Non-Pneumatic Anti-Shock Garment in The Management of Postpartum Haemorrhage Among Midwives in Ekiti State (Published)
Postpartum haemorrhage (PPH) is one of the leading causes of death among women especially in developing nations which can be managed through the use of non-pneumatic anti-shock garment (NASG). This study was aimed at evaluating the Utilization of NASG in the management of PPH among midwives in Ekiti State. This study adopted an embedded mixed method design. Purposive sampling technique was used to select six health facilities in Ekiti State and a total of 164 midwives participated in the quantitative study and 11 midwives in the qualitative study. Data were collected using self- structured questionnaire and interview guide. Results from the study shows that Midwives mean age was 37 ± 7.64, more than half 65.9% had (NASG) in their facilities, 54.3% have applied NASG on their patients, this corroborates with the result of the interview where majority showed adequate utilization, occasional utilization and awaiting approval for utilization. It was observed that Midwives’ don’t utilize NASG as a result of availability of other methods of controlling PPH 88.8%, non-availability of the garment 53%t, and Inaccessibility to NASG 48.8%, 36,4% indicated staff training challenge and alternative to NASG utilization 36.4% as the major factors influencing the utilization, this also corroborate with the result from the key informant interview, It was noted that the utilization of NASG was influenced by its availability as the p value gotten was 0.01 which is lesser than 0.05. Conclusively, the utilization of NASG for the management of PPH was on the average.
Keywords: Midwives, Non pneumatic anti-shock garment, Postpartum haemorrhage, Utilization