Uterine Balloon Tamponade: An Effective Tool for Managing Postpartum Haemorrhage (Published)
This article explores the crucial subject of Uterine Balloon Tamponade (UBT) as a very efficient method for controlling postpartum haemorrhage (PPH). Maternal mortality continues to be a pressing issue in global health, with postpartum haemorrhage playing a prominent role in this troubling pattern. This study investigates the versatile operational processes of UBT devices, with a particular focus on their capacity to stimulate uterine receptors, initiate contractions, and exert hydrostatic pressure to halt bleeding sinuses. The research highlights the crucial importance of healthcare workers, namely nurses, in promptly identifying and skillfully implementing UBT to achieve hemostasis. This resource offers a comprehensive examination of the many factors that contribute to postpartum haemorrhage (PPH), including uterine atony and retained placental fragments. It emphasises the need of implementing focused therapies to address these causes. The article highlights the worldwide inequalities in maternal healthcare and proposes comprehensive measures to tackle shortcomings in healthcare facilities, improve accessibility, and invest in highly qualified healthcare professionals. Evidence-based procedures, including UBT, are promoted for wider application, needing intensive instructional programs for healthcare practitioners. It is recommended that policymakers give high importance to maternal health on the international agenda, promoting cooperation across different fields of study and involving the community. In conclusion, the abstract highlights the need of taking proactive steps and working together to include UBT as a primary intervention in the management of PPH, with the main objective of decreasing global maternal death rates.
Keywords: Management, Postpartum haemorrhage, uterine balloon tamponade
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