Knowledge, Availability and Utilization of Non-Pneumatic Anti-Shock Garment among Nurses and Midwives Managing Postpartum Hemorrhage in Osun State, Nigeria

Abstract Background Postpartum haemorrhage (PPH) remains one of the leading causes of maternal morbidity and mortality worldwide, particularly in low- and middle-income countries. The Non-Pneumatic Anti-Shock Garment (NASG) is a low-cost first-aid device used to stabilize women experiencing hypovolemic shock due to obstetric haemorrhage while definitive treatment is being arranged. Adequate knowledge of the NASG among healthcare providers is essential for its appropriate use in maternal healthcare. Objective This study assessed the knowledge of the Non-Pneumatic Anti-Shock Garment (NASG) among nurses and midwives working in primary healthcare facilities in Osun State, Nigeria. Methods A descriptive cross-sectional study was conducted among 124 registered nurses and midwives working in primary healthcare facilities in Osun State between October and November 2025. Data were collected using a structured, self-administered questionnaire and analyzed using the Statistical Package for the Social Sciences (SPSS) version 20. Descriptive statistics, including frequencies, percentages, means, and standard deviations, were used to summarize the data. Results The mean age of the respondents was 41.71 ± 9.75 years. Most respondents were female (87.1%), married (85.5%), and midwives (67.7%). Overall, respondents demonstrated good knowledge of the NASG. The majority correctly identified the primary purpose of the NASG (95.2%), the appropriate timing of its application (95.2%), the correct sequence of application (95.2%), the correct procedure for removal (93.5%), the physiological mechanism of action (98.4%), and congestive heart failure as a contraindication (95.2%). In addition, 95.2% correctly indicated that the NASG does not replace definitive treatment for postpartum haemorrhage. Conclusion Nurses and midwives working in primary healthcare facilities in Osun State demonstrated good knowledge of the Non-Pneumatic Anti-Shock Garment. Continuous professional education and regular refresher training are recommended to sustain and further improve healthcare providers' knowledge and promote evidence-based management of postpartum haemorrhage.