Determinants, Treatment and Consequences of Post-Partum Haemorrhage in Osun State, Nigeria

Abstract

Despite concerted efforts made by United Nations and other health agencies to reduce Maternal Mortality Rate (MMR) through Skilled Birth Attendants (SBAs) and use of healthcare facilities, report reveals that Traditional Birth Attendants (TBAs) still have a place in maternal healthcare in developing countries. This paper examines causes, treatment and consequences of Post-Partum Haemorrhage (PPH) from TBAs’ perspectives in Osun State, Southwestern Nigeria. The study adopted qualitative method of data collection (In-depth Interview and Focus Group Discussion). Results show some similar (Tone, Trauma, Tissue and Thrombin) as obtained from medical literature and some divergent causes of PPH which includes: consumption of Potassium, intoxicants, dairy product, junks and iron tablets at advanced stage of pregnancy. This implies that substance/food consumption has implication on maternal health. TBAs’ treatment techniques for PPH include: use of powdery substances, concoctions, herbs and roots, and sometimes use of animal parts. Consequences of PPH include: organ failure, respiratory disorder, infection, fever, vomiting, anaemia and loss of fertility. WHO has revealed that misoprostol is effective in treating PPH in home delivery in developing countries. Reducing MMR due to PPH and achieving development in health sector in Nigeria therefore, requires training Nigeria TBAs on the proper administration of misoprostol.