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TRADITIONAL BIRTH ATTENDANTS’ KNOWLEDGE OF FIRST-AID MANAGEMENT AND SKILLS OF SELECTED LABOUR EMERGENCIES IN OGBOMOSHO, OYO STATE, NIGERIA: AN INTERVENTION STUDY

Maternal mortality remained prevalent in developing countries despite adopted measures to reduce its occurrence. The WHO (2015) recorded a maternal mortality ratio of 239 per 100,000 live births in developing countries as against 12 per 100,000 live births in developed countries. Studies attributed this anomaly to inadequate First-Aid knowledge and skills of Traditional Birth Attendant (TBAs) in managing obstetrics complications. This study determines the effectiveness of a training program on knowledge of first-aid management and skills of on TBAs labour emergencies in selected areas. One group pre-post experimental design was used and the sample size was calculated using Cochran formula to select 111 TBAs. These were randomly selected out of 150 total numbers. Test paper on knowledge on first-aid management (TPKFM) and self-developed rating scale (SRS) on selected labor emergencies was used to collect data on the cognitive and psychomotor domains. Data collected were analyzed using tables, percentages, means, and standard deviation while inferential statistics of paired ttest. Pre-intervention means score of TBAs knowledge was 6.86 ±2.47 while post means score of 17.66 ±2.37 (mean gain 10.8). Pre-intervention means score of TBAs
on first-aid management skills was 4.92 ±1.93 while post-intervention means score of 11.46 ±1.36. There were significant differences between pre-post intervention knowledge of first aid management (t= 46.91, p = 0.00), and first-aid management skills (t=39.571, p = 000), of TBAs at 0.05 level of significant. The findings show that the application of a training program on knowledge of first-aid management and skills of on TBAs selected labor emergencies was effective. Hence, TBAs should be given regular training together with prompt supervision should be done by stakeholders for the TBAs.

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