Research Article | DOI: https://doi.org/BRCA-RA-25-36
Knowledge and Practice of Neonatal Resuscitation Among Midwives in Selected Secondary and Tertiary Health Institutions in Imo State
Abstract
Neonatal resuscitation is a critical intervention for reducing neonatal mortality, particularly in low- and middle-income countries. Midwives play a pivotal role in implementing neonatal resuscitation practices, yet gaps in knowledge and practice persist in many settings. This study assessed the knowledge and practice of neonatal resuscitation among midwives in selected secondary and tertiary health institutions in Imo State, Nigeria. A descriptive survey design was adopted, involving 70 midwives selected through a convenience sampling technique. A validated questionnaire, with a reliability coefficient of 0.889, was used to collect data. Descriptive statistics, including frequency and mean, were used to analyze the data. The findings showed that midwives possess a high level of knowledge of neonatal resuscitation, with a grand mean of 3.90. Similarly, their practices were highly effective, as indicated by a grand mean of 3.98. The midwives demonstrated proficiency in airway clearance, bag-and-mask ventilation, and chest compressions, reflecting adherence to neonatal resuscitation guidelines. However, challenges related to resource constraints and training disparities were noted in secondary institutions. Midwives in Imo State demonstrate substantial knowledge and effective practice of neonatal resuscitation, especially in tertiary health institutions. Sustained training programs, improved resource availability, and policy formulation are essential to address existing gaps and improve neonatal outcomes. It is recommended that periodic training, resource provision, and supervision mechanisms be strengthened, particularly in resource-limited settings, to enhance neonatal resuscitation practices. Further research should explore barriers in under-resourced health facilities to develop targeted interventions.
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