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EFFECT OF TRAINING ON FIRST-AID MANAGEMENT OF SELECTED OBSTETRIC EMERGENCIES BY TRADITIONAL BIRTH IN OGBOMOSO: AN INTERVENTION STUDY

Maternal mortality remained prevalent in developing countries despite adopted measures to reduce its occurrence. The W.H.O (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 Attendants (TBAs) in managing obstetrics complications. This study examines the effectiveness of a training program on knowledge of first-aid management and skills on TBAs selected labour emergencies. 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 (TP-KFM) and self-developed rating scale (SRS) on selected labour emergencies was used to collect data on the cognitive and psychomotor domains. Data collected were analysed using tables, percentages, means, and standard deviation while inferential statistics of paired t-test. Pre-intervention mean 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 of this study show that the application of a training program on knowledge of first-aid management and skills of TBAs selected labour emergencies was effective. Hence, TBAs should be given regular training together with prompt supervision to be done by stakeholders for the TBAs

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