Affiliation:
1. Department of Pharmacy University of Nigeria Teaching Hospital Enugu Nigeria
2. Department of Clinical Pharmacy and Pharmacy Management University of Nigeria Nsukka Nigeria
3. Department of Obstetrics and Gynecology University of Nigeria Teaching Hospital Enugu Nigeria
Abstract
AbstractObjectivesThis study was conducted to determine the knowledge, practice, and barriers regarding the use of tranexamic acid (TXA) for the prevention and treatment of postpartum hemorrhage (PPH) among health care providers in Enugu, Nigeria.MethodsA cross‐sectional study was conducted among health professionals (doctors, pharmacists, and nurses) in two Nigerian tertiary teaching hospitals (one federal and one state). A total of 220 questionnaires were distributed and 207 were returned (response rate: 94%) and analyzed using SPSS for inferential statistics with a level of significance of P < 0.05.ResultsOnly 23.7% of the respondents had good knowledge of TXA use in PPH (P < 0.001), and awareness of the recent World Health Organization (WHO) recommendation on the use of TXA for PPH was low (19.8%, P < 0.001). The majority of the respondents had neither prescribed nor dispensed TXA (30%, P < 0.001). Very few respondents used TXA for all cases of PPH (16.4%, P < 0.001). Barriers against its use include nonawareness of the latest WHO recommendation, preference for other uterotonics, and cost of the drug.ConclusionsThere was poor knowledge of TXA, poor awareness of its recommendation, and low use for PPH among different cadres of health care providers.
Subject
Obstetrics and Gynecology,General Medicine