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KNOWLEDGE AND PRACTICES OF ACTIVE MANAGEMENT OF THIRD STAGE LABOUR AMONG BIRTH ATTENDANTS IN OGBOMOSO AREA OYO STATE, NIGERIA

Maternal morbidity and mortality remain a huge public health problem in developing countries for decades, despite different strategies and intervention aimed at reducing it, the rate and prevalence remains high. Post-partum haemorrhage (PPH) being the leading cause can be prevented if every third stage labour is actively managed. This study assessed knowledge and utilization of active management of third stage labour (AMTSL) by birth attendants in Ogbomoso as well as the factors influencing the practice. Descriptive research design was used. 300 skilled birth attendants from primary, secondary and tertiary health institutions in Ogbomoso, Oyo-State participated in the study. The instrument for data collection was a self- developed structured questionnaire, designed to assessed knowledge, utilization and factors affecting the practice of active management of third stage labour. The result showed that many participants had good knowledge (62.3%) while (37.7%) participants demonstrated poor knowledge. Level of practice of active management of third stage Labour was graded into low and high: 42.7% were adjudged high while 57.3% were low. The hindering factors observed were inadequate manpower (60.7%), shortage of oxytocin (47%) while 44.7% perceived the procedure to be time consuming. Also, there is a significance relationship between knowledge and practice of Active management of third stage Labour. Frequent monitoring and supervision of birth attendants to assess their practices will be beneficial to ensure safety of lives and improved quality of care is recommended.

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