Effect of educational intervention on midwives’ skills in utilising uterine balloon tamponade for managing postpartum haemorrhage in Ogun State, Nigeria

Abstract

Objective: Studies demonstrated the cost-effectiveness of Uterine Balloon Tamponade (UBT) in reducing PPH. However, in Ogun State, Nigeria studies revealed midwives’ inadequate skills to utilise UBT. Therefore, this study assessed the effect of the intervention on midwives’ skills in utilising UBT for managing PPH at Primary Healthcare Centres (PHC), Ogun State, Nigeria. Methodology: The study utilised a quasi-experimental design involving the Experimental group (EG) and Control group (CG). A sample size of 146 professional midwives working at PHC in Ogun State was utilized for the study. Six Local Government Areas were purposefully selected based on PPH prevalence. A checklist was used to assess midwives’ skills in utilising UBT. The Intervention was teaching, video simulations, and practical demonstrations of UBT. Data was collected in three phases with a 93.8% response rate. Data were analysed using descriptive and inferential statistics at a 5% level of significance. Results: The pre-intervention skills mean score for EG was 3.57 ± 0.66 and CG was 3.58 ± 0.60, while the immediate and 8th-week post-intervention mean scores for EG were 7.84 ± 0.75; 8.0 ± 0.70, and for CG were 3.71 ± 0.67 and 3.71 ± 0.65, respectively. The Cohen’s d effect size for midwives’ skills in utilising UBT for managing PPH is large at 1.18. Conclusion: The intervention improved midwives' skills in utilising UBT to manage PPH. The study recommends the implementation of similar interventions in relevant healthcare settings to ensure the utilisation of UBT in managing PPH.