PDF(Pubmed)
Abstract：
BACKGROUND: Maternal Mortality (MM) in Nigeria is greatest in rural regions where access to emergency obstetric care (EmOC) services is hampered by a number of circumstances. Delay in obtaining prompt and proper care in obstetric emergency situations is a significant factor in poor mother outcomes. It is based on this premise that the researchers examined midwives\' knowledge and involvement regarding provision of emergency obstetric care in rural health facilities of Cross River State.
METHODS: The study adopted a cross-sectional descriptive design; a total population study of all ninety-four midwives who worked in maternal health care facilities in rural areas of CRS was utilised. Cross River state is a state in the South-South geopolitical zone of Nigeria, named after the Cross River, which passes through the state, located in the Niger Delta and occupies 20,156 square kilometers A self-developed and validated questionnaire was used for data collection. The instrument was pre-tested for reliability and result showed the reliability index ranging from 0.70 to 0.82. Quantitative data collected was analysed using Pearson product moment correlation test at 0.05 level of significance.
RESULTS: The research findings revealed midwives\' level of knowledge on emergency obstetric care in rural health facilities of CRS was significantly high, majority of the participants had provided some aspects of essential emergency obstetric care. The result of hypotheses revealed a significant relationship between knowledge and provision of EmOC amongst the midwives (P < .05).
CONCLUSIONS: Based on this, it was recommended that appropriate strategies such as on the job training\\ supportive supervision, refresher training and mentorship should also be ensured to enhance midwives\' capacity in emergency obstetric care. Finally, there is need for Community involvement/enlightenment, motivating traditional birth attendants and integrating them into maternal health care system.
METHODS: The study adopted a cross-sectional descriptive design; a total population study of all ninety-four midwives who worked in maternal health care facilities in rural areas of CRS was utilised. Cross River state is a state in the South-South geopolitical zone of Nigeria, named after the Cross River, which passes through the state, located in the Niger Delta and occupies 20,156 square kilometers A self-developed and validated questionnaire was used for data collection. The instrument was pre-tested for reliability and result showed the reliability index ranging from 0.70 to 0.82. Quantitative data collected was analysed using Pearson product moment correlation test at 0.05 level of significance.
RESULTS: The research findings revealed midwives\' level of knowledge on emergency obstetric care in rural health facilities of CRS was significantly high, majority of the participants had provided some aspects of essential emergency obstetric care. The result of hypotheses revealed a significant relationship between knowledge and provision of EmOC amongst the midwives (P < .05).
CONCLUSIONS: Based on this, it was recommended that appropriate strategies such as on the job training\\ supportive supervision, refresher training and mentorship should also be ensured to enhance midwives\' capacity in emergency obstetric care. Finally, there is need for Community involvement/enlightenment, motivating traditional birth attendants and integrating them into maternal health care system.
摘要：
背景：尼日利亚的孕产妇死亡率（MM）在农村地区最大，在农村地区，由于许多情况，无法获得紧急产科护理（EmOC）服务。在产科紧急情况下，延迟获得及时和适当的护理是导致母亲结局不佳的重要因素。基于此前提，研究人员检查了助产士在CrossRiver州农村医疗机构中提供紧急产科护理的知识和参与情况。
方法：该研究采用了横断面描述性设计；对CRS农村地区的所有94名助产士进行了总人口研究。克罗斯河州是尼日利亚南南地缘政治区的一个州，以十字河命名,穿过州，位于尼日尔三角洲，占地20,156平方公里，使用自行开发和验证的问卷进行数据收集。对仪器进行了可靠性预测试验，结果表明其可靠性指数范围为0.70至0.82。使用Pearson乘积矩相关性检验在0.05显著性水平下分析收集的定量数据。
结果：研究结果显示助产士对农村医疗机构产科急诊护理CRS的知识水平明显较高，大多数参与者提供了一些基本的产科急诊护理。假设结果表明，助产士的知识与EmOC的提供之间存在显着关系（P<0.05）。
结论：基于此，建议采取适当的策略，如在职培训\\支持性监督，还应确保进修培训和指导，以提高助产士在紧急产科护理方面的能力。最后,需要社区参与/启蒙，激励传统助产士，并将其纳入孕产妇保健系统。
方法：该研究采用了横断面描述性设计；对CRS农村地区的所有94名助产士进行了总人口研究。克罗斯河州是尼日利亚南南地缘政治区的一个州，以十字河命名,穿过州，位于尼日尔三角洲，占地20,156平方公里，使用自行开发和验证的问卷进行数据收集。对仪器进行了可靠性预测试验，结果表明其可靠性指数范围为0.70至0.82。使用Pearson乘积矩相关性检验在0.05显著性水平下分析收集的定量数据。
结果：研究结果显示助产士对农村医疗机构产科急诊护理CRS的知识水平明显较高，大多数参与者提供了一些基本的产科急诊护理。假设结果表明，助产士的知识与EmOC的提供之间存在显着关系（P<0.05）。
结论：基于此，建议采取适当的策略，如在职培训\\支持性监督，还应确保进修培训和指导，以提高助产士在紧急产科护理方面的能力。最后,需要社区参与/启蒙，激励传统助产士，并将其纳入孕产妇保健系统。
