Mohammed Sirajo, Khuan Lee, Durai Ruth Packiavathy Rajen, Ismail Irmi Zarina Binti, Garba Saleh Ngaski
Department of Nursing, Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia.
Department of Family Medicine, Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia.
Belitung Nurs J. 2022 Dec 27;8(6):538-545. doi: 10.33546/bnj.2227. eCollection 2022.
Maternal mortality reduction remains a world health priority. One of the causes of maternal death is bleeding after childbirth. However, little is known regarding barriers to reporting for postpartum hemorrhage care among postnatal women in Nigeria.
This research aimed to understand the perceived barriers to reporting postpartum hemorrhage care experienced by women and healthcare workers in Birnin Kebbi, North west-Nigeria.
Qualitative case research was employed in this study with face-to-face interviews among ten postnatal women who experienced bleeding and six healthcare workers. Data were collected from September to November 2021. The interviews were all audio-taped, transcribed verbatim, and analyzed using thematic analysis. NVivo Pro Version 12 was applied to organize further and manage the data.
Six themes were developed: (1) knowledge deficit, (2) poor attitudes, behaviors, and performances, (3) low socioeconomic status, (4) lack of healthcare personnel, (5) cultural norms, and (6) lack of access to healthcare facilities.
The study findings might serve as input for healthcare policymakers and healthcare workers to improve health and reduce maternal mortality. Enhancing knowledge and awareness about reporting process is necessary to improve reporting for postpartum hemorrhage care among women. Training and continuous professional development of health care workers are also highly suggested to enhance the quality of care.
降低孕产妇死亡率仍然是全球卫生工作的重点。产后出血是孕产妇死亡的原因之一。然而，关于尼日利亚产后妇女报告产后出血护理的障碍知之甚少。
本研究旨在了解尼日利亚西北部比尔宁凯比的妇女和医护人员在报告产后出血护理方面所感受到的障碍。
本研究采用定性案例研究方法，对10名有出血经历的产后妇女和6名医护人员进行了面对面访谈。数据收集于2021年9月至11月。访谈均进行了录音，逐字转录，并采用主题分析法进行分析。使用NVivo Pro 12版本对数据进行进一步整理和管理。
形成了六个主题：（1）知识缺乏；（2）态度、行为和表现不佳；（3）社会经济地位低下；（4）医护人员短缺；（5）文化规范；（6）难以获得医疗设施。
研究结果可为卫生保健政策制定者和医护人员提供参考，以改善健康状况并降低孕产妇死亡率。提高对报告流程的认识对于改善妇女产后出血护理的报告情况很有必要。还强烈建议对医护人员进行培训和持续专业发展，以提高护理质量。
