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As part of intervention activities by the Women's Health and Action Research Centre (WHARC) and the World Health Organization (WHO) on the project: Intervention to Improve the Quality of Emergency Obstetrics Care for the Prevention of Maternal & Perinatal Mortality in Referral Hospitals, a two day workshop on the management of Primary Postpartum Haemorrhage & Eclampsia was organised for healthcare providers in maternal healthcare in Central Hospital Benin city.

The objectives of the workshop were:

  • To build capacity of maternal healthcare providers on management and prevention of primary postpartum haemorrhage & eclampsia
  • To build capacity of maternal healthcare providers on respectful care during pregnancy and labour.
  • To develop protocol and algorithm for the management of postpartum haemorrhage & eclampsia.

Attendees in the workshop include:

  • Medical Director, Central Hospital Benin City
  • Head of Department, O & G Central Hospital, Benin City
  • Head of Department, Paediatrics, Central Hospital Benin City
  • Head of Department, Anasthesia
  • Consultants, Stella Obasanjo Hospital, Benin City.
  • Director of Nursing, Central Hospital Benin City
  • Director of Medical Laboratory, Central Hospital Benin City
  • Blood Bank Unit, Central Hospital Benin City
  • Nurses/Mid-wives
  • Students from the Centre of Excellence in Reproductive Health Innovation (CERHI)
  • Staff and management of WHARC.

Facilitators/Presentations at the workshop were:

Prof. F. E Okonofua – “Prevention and Management of Primary Postpartum Haemorrhage”

                                “Management and Prevention of Eclampsia”

Dr. Victor Ohenhen – “Antenatal Care”

Dr. Kingsley Agholor – “Respectful care during Pregnancy and Labour”

Dr. Rosemary Ogu – “Development of Protocol & Algorithms for the Prevention and management of Primary postpartum haemorrhage & Eclampsia”

Day 1

The workshop started at 9:20 am with introduction of guests and an overview of the project by the executive director WHARC, Dr. Wilson Imongan.

Speech of the Medical Director Central Hospital Benin City

Dr. Philip Ugbodaga lauded WHARC for her collaboration and many projects interventions: Maternal and Perinatal Death Surveillance and Response, Couple health talk, blood drive, Computerized appointment systems, to reduce maternal and perinatal morbidity & mortality in Central Hospital, Benin City; and that the hospital is better for it. He mentioned that postpartum haemorrhage is a leading cause of maternal mortality and a big issue in CHB. Hence, the blood drive campaign initiative by WHARC/CHB to make blood readily available at no cost to improve quality of emergency obstetrics care and prevent maternal mortality has been resourceful. He was enthusiastic at the training workshop and hoped for a further positive impact and outcome for maternal healthcare in CHB after the workshop ends.  

Lecture 1 - Antenatal Care (ANC)

Highlights and themes of the lecture included:

  • Africa has a 4% ANC attendance; one of the poorest in the world.
  • Negative attitude of healthcare providers, long distance, long patient waiting time; traditional believes; lack of decision making power by women are among reasons for low ANC attendance in Nigeria.
  • Aims of ANC
  • Variables that influence ANC
  • Focused ANC: Birth Planning & Emergency preparedness
  • Evidence-Based practices & Models of ANC by WHO

The Facilitator for this section of the workshop, Dr. Victor Ohenhen stated that the idea of Antenatal care was brought about by Ballantyne in 1901, and he further said that male involvement in antenatal care and not only the women is key to reducing maternal mortality.


Lecture 2 - Prevention and Management of Primary Postpartum Haemorrhage (PPH)

Highlights and themes of the lecture included:

  • Definition of PPH and the types of PPH
  • Associated risks with PPH
  • PPH contributes 25% to Maternal Mortality (MM) globally
  • 1/18 women die of PPH in Nigeria
  • Management of PPH – use of egometrin, oxytocin, misoprostol & tranexamic acid
  • Estimation of blood loss

The Facilitator, Professor F.E. Okonofua emphasised that women die from substandard maternal healthcare than from PPH; PPH is preventable and manageable but determination is key.

Development of Protocols & Algorithms for the Management of Primary Postpartum Haemorrhage

Dr. Rosemary Ogu facilitated this session; an algorithms and protocol for the management of PPH was produced & adopted for Central Hospital, Benin City. She also urged health professionals to share information/findings and document in peer reviewed journals and to always do their best to save women.

The Executive Director WHARC, Dr. Wilson Imongan gave the closing remarks.

Day 2

The Executive Director WHARC, Dr. Wilson Imongan gave the opening remark and a recap of Day -1 was presented by Dr. (Mrs) Omo-Omorodion Blessing Itohan.

Lecture 1 – Respectful care during Pregnancy & Labour

Highlights and themes of the lecture included:

  • Definition of Respectful Maternal Care (RMC)
  • Women’s right to RMC
  • Categories of disrespectful and abusive care.
  • Barriers to RMC

The Facilitator, Dr. Kingsley Agholor emphasized the use of soft skills in a respectful, humane, compassionate and dignified manner in maternal healthcare.

Lecture 2 - Management and Prevention of Eclampsia

Highlights and themes of the lecture included:

  • Eclampsia is the second leading cause of maternal mortality in Nigeria
  • Definition of Eclampsia
  • Signs and symptoms of eclampsia
  • Management and prevention and treatment of Eclampsia

The facilitator, Professor Friday Okonofua emphasised that the preventive measure for eclampsia is timely decision making.

Development of Protocols & Algorithms for the Management of Eclampsia

Dr. Rosemary Ogu facilitated a brain storming session for the development of protocol and algorithms for the management of eclampsia.



Some notable comments made during the workshop included:

  • Health providers should consciously develop the right attitude in administering maternal healthcare
  • Health providers should always show competency before patients
  • WHARC should also include Faith Based Organisations (FBOs) in their interventions to reduce number of referral cases
  • Occupational therapy should be inclusive in maternal healthcare
  • Cultivation of a good Mentor – mentee relationship
  • The need to employ media platforms such as radio and Tv in educating women on maternal healthcare.


  • A protocol and algorithm for the management of primary postpartum haemorrhage was produced and adopted for Central Hospital Benin.
  • A protocol and algorithm for the management of eclampsia was produced and to be finalised for adoption
  • The result of the pre-test & post-test showed increased knowledge of the participants on antennal care, respectful maternal care & postpartum haemorrhage
  • Strategic Operation Plan documents and Frequently Asked Questions on pregnancy care were given to participants present.



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Our Board of Trustees

  • Prof. Agatha Eguavoen /Chairman/

    Professor Agatha Nonyem Taiwo Eguavoen attended the University of Ibadan where she obtained her First, Second and Third degrees in Sociology with specialization in Criminology and Gender studies.
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  • Prof. Friday Okonofua

    Professor Friday Okonofua is the pioneer Vice-Chancellor of the University of Medical Sciences in Ondo State of Nigeria. He graduated MB ChB from the Obafemi Awolowo University, Ile-Ife in 1978 and has PhD (Public Health) from the Karolinska University in Sweden.
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  • Dr. Wilson Imongan

    Wilson Imongan, medical practitioner, graduated with MBBS from the University of Ibadan and had additional training in Dermatology from the University of Wales, Cardiff, UK where he obtained a post graduate diploma in Dermatological Sciences.
    Read More
  • Prof. Bridget Ogonor

    Professor (Mrs.) Bridget Ogheneakpobo Ogonor has B.Sc. (Sociology) University of Lagos in 1978. In 1983. 1990 and 1997, she bagged the following degrees; PGDE, M.Ed (Educational Administration) and Ph.D (Educational Administration) respectively from the University of Benin.
    Read More
  • Prof. Cyril Mokweyen

    Professor Cyril Obiajulu MOKWENYE is a Professor Francophone Caribbean and African Literatures at the University of Benin, Nigeria. He was educated at the University of Ibadan, Nigeria, and the University of Bordeaux, in France.
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  • Lady (Mrs.) Marcelina A

    Chief Lady Mrs. Marcellina Aisuebeogun is a retired Chief Health Sister/Chief Nursing Officer and a Health Educator for several years.
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  • Engineer. Ibude Guobadia

    Engineer. Ibude Guobadia is a Management Consultant and Engineer. He obtained a B.Sc. (Hons) Electrical engineering from the University of Lagos, Lagos in 1984 and a master in Business Administration (MBA) in 1990 from the University of Benin, Benin City.
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