Influence of Life Saving Skills (LSS) by Trained Nurses and Midwives on Maternal Mortality in Bauchi State

ABSTRACT

Skilled care during pregnancy, child delivery, and immediately after the delivery isimportant because itsaves lives of millions of women and newborns and prevent serious and hard to predict complications during pregnancy, delivery or immediately after delivery. Life Saving Skills (LSS) has been in practice by nurses, since 1992, to address maternal mortality and morbidity. However, it is not clear as to what extent the training of nurses and midwives in LSShas contributed to the reduction of maternal mortality in Bauchi state. This study was conducted to find out the influence of nurses and midwives trained in LSS on Maternal Mortality in Bauchistate. To achieve the purpose of the study a questionnaire on a contribution of midwives and nurses trained in LSS was prepared and standardized. The questionnaire contained five sections-section one on demography’s of the respondents and two to four on contribution of LSS trained midwives and nurses to reduction of maternal mortality and morbidity in Bauchi state. The questionnaire was administered on 522 randomly selected respondents, who consisted of clients and LSS trained midwives and nurses, 470 respondents duely filled in the questionnaire. The information thus received was statistically analysed the result which revealed the following:

The respondents perceived that:

1.TheLSS trained nurses and midwives contributed to provision of quality antenatal care.

2.The LSS trained nurses and midwives contributed significantly to provision of skilled attendance at birth which results into safe delivery and pueperium whose reduce maternal death.

Based on the research findings the following recommendations were made:

-The state and local governments should ensure health education and public enlightment ofthe communities about the contribution of LSS trained nurses and midwives to maternity services.

TABLEOFCONTENTS

Cover pagei

Title pageii

Declarationiii

Certificationiiv

Dedicationv

Acknowledgementvi

Abstractviii

List of tablesx

Abbreviationxi

Operational definition of termsxiii

Table of contentsxiv

CHAPTERONE

1.0Introduction1

1.1Importance of life saving skills2.

1.2Statement of the problem5

1.3Research questions6

1.4Basic assumptions6

1.5Hypotheses6

1.6Significance ofthestudy7

1.7Delimitations8

1.8Limitations8

CHAPTERTWO

2.1Introduction10

2.2Events that lead to development of Life Saving Skills(LSS)12

2.3Causes of maternal mortality20

2.4The role of a nurse/midwives in preventing maternal mortality The LSS model45

2.5Summary67

CHAPTERTHREE

3.1Methodology69

3.2Research design69

3.3Population69

3.4Sample and sampling technique70

3.5Instrumentation71

3.6Pilotstudy71

3.7Administration of questionnaire72

3.8Statistical techniques73

CHAPTERFOUR

RESULTS AND DISCUSSION

4.1Introduction74

4.2Results74

4.3Answering research questions78

4.4Testing Hypothesis81

4.5Discussion85

CHAPTERFIVE

SUMMARY, CONCLUSIONS AND RECOMMENDATIONS

5.1Summary89

5.2Conclusion90

5.3Recommendations91

5.4Suggestion for further research92

REFERENCES93

APPENDIXA:Research questionnaire97

APPENDIX B:Request to Vet a Questionnaire103

APPENDIX C:Permission to administer questionnaire104