Obstetrics & Gynaecology

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Browsing Obstetrics & Gynaecology by Subject "Management of Postpartum Hemorrhage"

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    Factors affecting utilization of Non-pneumatic Anti-shock Garment (NASG) in management of Postpartum Hemorrhage (PPH) in urban health centers in Blantyre
    (Kamuzu University of Health Sciences, 2022-02-09) Nkhula Chauluka, Gloria
    Type of research study: Cross-sectional mixed method study. Problem to be studied: Postpartum Hemorrhage is the leading cause of maternal mortality globally and in Malawi. World Health Organisation recommended the use of Non Pneumatic Anti-shock Garment in management of Postpartum Hemorrhage until appropriate advanced medical care is available. Non Pneumatic Anti-shock Garment is a low cost technology that is used on women who have excessive bleeding after delivery. Its purpose is to decreases blood loss in the uterus, hence restore vital signs, and reverse shock in women who have lost excessive blood after delivery until they receive appropriate advanced medical care at Comprehensive Emerency Obtetric Care health facilities. However, in spite of the demonstrated effectiveness and benefits associated with the use of NASG in the management of PPH, its utilization is very low. Therefore, the study will assess the factors affecting utilization of Nonpneumatic Anti-shock Garment in Management of Postpartum hemorrhage. Objectives: The study will assess the factors affecting utilization of Non-pneumatic Anti-shock Garment in Management of Postpartum hemorrhage. Specifically the study will: 1. Assess the prevalence of NASG use among women with PPH. 2. Assess knowledge and practices of midwives on effective use of NASG in management of PPH, 3. Analyze attitude of midwives regarding the use of NASG in management of PPH 4. Examine patients perceptions in use of NASG in the management of PPH. Methodology: The study will sample 83midwives working in health facilities with NASG available: 40 midwives will be included in structured interviews and 43 midwivesin Focus Group Discussions.The study will also sample 12 patients from QECH: 6 patients in structured interviews and 6 patients will be included in Focus Group Discussions. After data collection, data will be entered in a computer using SPSS for analysis.Statistical and thematic analysis will be used to analyse the data. Expected findings and their dissemination: I expect to find out the factors that are affecting utilization of NASG in management of PPH. If found, they can be used to find appropriate measures to increase NASG utilization. The results will help policy makers, program planners and managers, policy implementers and other SRH stakeholders to make informed decisions and to develop strategies that could help Malawi to achieve the SDG of MMR of less than 70 per 100,000 live.Study results will be presented to Blantyre DHO, QECH, KUHeS and COMREC. Results will also be disseminated through professional conferences and events to exchange knowledge and raise awareness of the results.