Browsing by Author "Iyabode Aderonke ADELEKE"

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    Midwives’ Knowledge and Utilization of World Health Organisation E-MOTIVE Care Bundle Management of Postpartum Haemorrhage in Secondary Health Institutions in Ibadan, Nigeria
    (Lead City University, Ibadan, 2025-12) Iyabode Aderonke ADELEKE
    Postpartum haemorrhage remains one of the leading cause of maternal mortality worldwide. Traditional management methods such as uterine compression and use of uterotonic drugs have shown limited effectiveness in severe cases. WHO recommended E-MOTIVE Care Bundle, an evidence-based protocol, that demonstrated up to 60% reduction in postpartum haemorrhage when used effectively by midwives. This study aimed to ascertain Midwives’ knowledge and utilization of E-MOTIVE Care Bundle management of postpartum haemorrhage in secondary health institutions in Ibadan, Oyo State, Nigeria. Descriptive survey research design was employed, and data was collected from 205 midwives using a validated questionnaire. The instrument’s reliability was determined through a pretest conducted among 21 midwives at General Hospital, Aremo, Ibadan which revealed a Cronbach’s Alpha coefficient of 0.974 that indicated a high level of internal consistency. Descriptive analysis was used to answer research questions while Chi- square was used to test the hypotheses at a 0.05 level of significance. Findings revealed that 64% respondents had knowledge of E-MOTIVE Care Bundle and 90.7% had high knowledge of its individual components, 66.8% respondents indicated high level utilization of E-MOTIVE Care Bundle to manage postpartum haemorrhage and 73.2% identified steps in management of postpartum haemorrhage correctly. Chi-square results revealed a significant association between knowledge and utilization (χ² = 16.026, p = 0.001) and between years of experience and utilization (χ² = 73.927, p = 0.000). The study concluded that although midwives possessed high knowledge of E-MOTIVE Care Bundle and its utilization but needs more adherence to E-MOTIVE protocols. Therefore, in order to manage postpartum haemorrhage effectively and thereby reduce maternal mortality the studyrecommended that there should be continuous professional training, institutional support, and supervision to promote consistent, evidence-based management of postpartum haemorrhage in line with WHO standards. Keywords: E-MOTIVE Care Bundle, Midwives’ Knowledge, Postpartum haemorrhage, Utilization Word Count: 287