Knowledge and Utilization Levels of Partograph in Management of Labour Amongst Midwives in Selected Health Facilities in Akure, Ondo State

Adamolekun P.A., Osaji T., Adeyanju A.B.
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Abstract

Routine use of Partograph prevents labour related deaths which contributes hugely to maternal mortality in Sub-Saharan Africa (WHO, 2015).The study assessed knowledge and utilization levels of partograph in management of labour amongst midwives in selected health facilities in Akure, Ondo State. A cross-sectional descriptive survey design was adopted. Two hundred respondents were selected using a multistage sampling method. A validated self-structured questionnaire was used for data collection after a test retest for reliability. Data were analyzed using descriptive statistics of frequency, means and percentages while inferential statistics of Chi-square ANOVA was used to test hypothesis at significance of P ≤ 0.05. The result showed that the majority of the midwives 119 (59.5%) had good knowledge of partograph. Also, on levels of utilization, 62(62%) of respondents from UNIMEDTH and 46 (59%) in MCHA had good utilization of partograph, while all the 22(100%) respondents in CHCA had poor utilization. There was a significant relationship between years of work experience and midwives’ level of knowledge of partograph (p = 0.01). Annual partograph utilization rate was highest in the tertiary facility (UNIMEDTH (63%), followed by secondary (MCHA 51.8%) and primary (CHCA 41.3%). In conclusion, although the respondents had good knowledge of partograph, its utilization level was low at CHCA, therefore practical skills, training and retraining programs for midwives should be instituted to enhance the level of utilization of partograph in the primary health care facilities. Further study for midwife-led intervention on the utilization of partograph among midwives in the PHC should be done at a wider scope.
翁多州阿库雷选定卫生机构助产士分娩管理中的分娩知识和使用水平
常规使用分娩分娩可预防与分娩有关的死亡,而分娩死亡是撒哈拉以南非洲孕产妇死亡率的重要因素(世卫组织,2015年)。该研究评估了翁多州阿库雷选定卫生机构的助产士在分娩管理方面的产褥学知识和利用水平。采用横断面描述性调查设计。采用多阶段抽样方法选取200名受访者。在对信度进行重测后,采用一份有效的自结构化问卷进行数据收集。资料分析采用频率、均值、百分比的描述性统计,P≤0.05的显著性下,采用卡方方差分析的推理统计进行假设检验。结果显示,119名助产士中,对产程知识掌握程度较高的占绝大多数(59.5%)。此外,在利用水平上,unmedth的62名(62%)受访者和MCHA的46名(59%)受访者对段落的利用良好,而CHCA的所有22名(100%)受访者的利用率较差。助产士产程知识水平与工作年限有显著相关(p = 0.01)。年剖宫产利用率最高的是三级医院(unmedth)(63%),其次是二级医院(MCHA)(51.8%)和一级医院(CHCA)(41.3%)。综上所述,虽然调查对象对分娩知识有较好的了解,但其利用水平较低,因此应制定助产士的实践技能、培训和再培训计划,以提高初级卫生保健机构对分娩知识的利用水平。应在更广泛的范围内进一步研究助产士主导的对初级保健助产士使用产程的干预。
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