Umbilical Vein (UV) oxytocin injection is vital for managing retained placenta, reducing puerperal sepsis, bleeding, and maternal mortality. This study assessed the impact of simulation-based training on midwives’ skills in managing retained placenta using UV oxytocin injection in health facilities in Osun State, Nigeria. A quasi-experimental one-group pretest-posttest design was adopted. A total of 86 midwives from 45 secondary health facilities in Osun State participated. Data on midwives’ skills in UV oxytocin injection were collected using a validated checklist with a reliability coefficient of
0.88α at pre-intervention (P0), immediate postintervention (P1), and six weeks post-intervention (P2), achieving a 100% response rate. The midwives underwent two days of training, which included video and practical demonstrations of the UV oxytocin injection procedure. Data analysis employed descriptive and inferential statistics at a 5% significance level. The respondents were predominantly female (100%), aged 41-50 years (52.3%), and Christian (81.4%). All were Yoruba, and the majority held a post-basic nursing degree (58.2%) and had 10-19 years of service (62.8%). The largest proportion was in the ADNS professional cadre (34.9%), and all worked in secondary health
facilities (100%). The study observed a significant increase in the training profile of respondents postintervention: pre-intervention (42.6%), immediate postintervention (74%), and six weeks post-intervention (75%). The intervention, focused on intra-umbilical oxytocin injection skills for managing retained placenta, significantly improved participants’ practical skills: preintervention
(11.5%), immediate post-intervention (61.8%), and six weeks post-intervention (75.3%). This study revealed a significant difference between pre-immediate post-, and six weeks post-intervention scores on midwives’ skills in umbilical vein injection of oxytocin for the treatment of retained placenta (P = .000). Further post-hoc analysis of the observed association revealed statistically significant differences between the preintervention skills score and both immediate postintervention
skills score (p < .0001) and six weeks postintervention skills score (p < .0001). In conclusion,
simulation-based training significantly enhanced midwives’ skills in managing retained placenta with UV oxytocin injection in Osun State health facilities. It is recommended that simulation-based training be periodically implemented for in-service training of midwives nationwide to enhance their skills.
- ODESANYA | LYDIA | OLUBUKOLA | odesanya0255@pg.babcock.edu.ng | +2348055038739, ONASOGA | OLAYINKA | A. | onasoga.oa@unilorin.edu.ng | +2348064967578, AFOLABI | OPEYEMI | . | afolabi.opeyemi@adelekeuniversity.edu.ng | +2348036381547, OLABISI | ELISHA | OLUWATOBI | Olabisielisha@gmail.com | +2348167225864
- Midwives' skills; Oxytocin injection; Retained placenta; Simulation-based training; Umbilical vein injection
- EFFECT OF SIMULATION BASED TRAINING ON MIDWIVES
