Experience of midwives in providing care to labouring women in varied healthcare settings: A qualitative study.
childbirth
labour
midwifery
qualitative research
sub-Saharan Africa
Journal
Health SA = SA Gesondheid
ISSN: 2071-9736
Titre abrégé: Health SA
Pays: South Africa
ID NLM: 101213385
Informations de publication
Date de publication:
2021
2021
Historique:
received:
03
08
2020
accepted:
24
03
2021
entrez:
30
6
2021
pubmed:
1
7
2021
medline:
1
7
2021
Statut:
epublish
Résumé
Midwives are essential to timely, effective, family-centred care. In South Africa, patients have often expressed dissatisfaction with the quality of midwifery care. Negative interpersonal relationships with caregivers, lack of information, neglect and abandonment were consistent complaints. Less is known about how midwives experience providing care. This research explored and described the experiences of midwives in providing care to labouring women in varied healthcare settings. Midwives practicing in the Gauteng province, South Africa, in one of three settings: private hospitals, public hospitals or independent maternity hospital. A convenience sample of midwives ( Five themes were found: proud to be a midwife, regulations and independent function, resource availability, work burden and image of the midwife. Midwives struggle within systems that fail to allow independent functioning, disallowing a voice in making decisions and creating change. Regardless of practice setting, midwives expressed frustration with policies that prevented utilisation consistent with scope of practice, as well as an inability to practice the midwifery model of care. Those in public settings expressed concern with restricted resource appropriation. Similarly, there is clear need to upscale midwifery education and to establish care competencies to be met in providing clinical services. This research provides evidence of the midwifery experience with implications for needed health policy change.
Sections du résumé
BACKGROUND
BACKGROUND
Midwives are essential to timely, effective, family-centred care. In South Africa, patients have often expressed dissatisfaction with the quality of midwifery care. Negative interpersonal relationships with caregivers, lack of information, neglect and abandonment were consistent complaints. Less is known about how midwives experience providing care.
AIM
OBJECTIVE
This research explored and described the experiences of midwives in providing care to labouring women in varied healthcare settings.
SETTING
METHODS
Midwives practicing in the Gauteng province, South Africa, in one of three settings: private hospitals, public hospitals or independent maternity hospital.
METHODS
METHODS
A convenience sample of midwives (
RESULTS
RESULTS
Five themes were found: proud to be a midwife, regulations and independent function, resource availability, work burden and image of the midwife.
CONCLUSION
CONCLUSIONS
Midwives struggle within systems that fail to allow independent functioning, disallowing a voice in making decisions and creating change. Regardless of practice setting, midwives expressed frustration with policies that prevented utilisation consistent with scope of practice, as well as an inability to practice the midwifery model of care. Those in public settings expressed concern with restricted resource appropriation. Similarly, there is clear need to upscale midwifery education and to establish care competencies to be met in providing clinical services.
CONTRIBUTION
UNASSIGNED
This research provides evidence of the midwifery experience with implications for needed health policy change.
Identifiants
pubmed: 34192066
doi: 10.4102/hsag.v26i0.1524
pii: HSAG-26-1524
pmc: PMC8182560
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1524Informations de copyright
© 2021. The Authors.
Déclaration de conflit d'intérêts
The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.
Références
BJOG. 2016 Apr;123(5):671-4
pubmed: 26628382
Cochrane Database Syst Rev. 2008 Oct 08;(4):CD004667
pubmed: 18843666
Midwifery. 2014 Jan;30(1):89-95
pubmed: 23473911
Birth. 1999 Mar;26(1):43-50
pubmed: 10352055
Sex Reprod Healthc. 2014 Oct;5(3):113-8
pubmed: 25200971
Health Care Women Int. 2014;35(7-9):808-17
pubmed: 24875754
Midwifery. 2019 Oct;77:1-8
pubmed: 31233989
Midwifery. 2014 Jan;30(1):3-10
pubmed: 23891303
PLoS One. 2016 May 02;11(5):e0153391
pubmed: 27135248
J Clin Nurs. 2019 Feb;28(3-4):386-399
pubmed: 30129076
Reprod Health. 2019 Jul 25;16(1):116
pubmed: 31345239
J Midwifery Womens Health. 2000 Jan-Feb;45(1):4-19
pubmed: 10772731
Curationis. 2018 Jan 30;41(1):e1-e9
pubmed: 29415551
Eur J Midwifery. 2018 May 30;2:5
pubmed: 33537566
Midwifery. 2010 Feb;26(1):76-87
pubmed: 18562056
Soc Sci Med. 2016 Nov;169:157-170
pubmed: 27723514
Curationis. 2013;36(1):E1-9
pubmed: 26697615
Acad Med. 2012 Apr;87(4):545
pubmed: 22452919
J Adv Nurs. 2007 Jan;57(2):127-40
pubmed: 17214749
Midwifery. 2014 Jun;30(6):585-94
pubmed: 24685016
Int J Nurs Stud. 2014 Feb;51(2):177-80
pubmed: 24054070
Glob Health Action. 2014 Dec 22;7:26401
pubmed: 25537941
Soc Sci Med. 1998 Dec;47(11):1781-95
pubmed: 9877348
BJOG. 2014 Sep;121 Suppl 4:53-60
pubmed: 25236634
Reprod Health. 2016 Nov 14;13(1):136
pubmed: 27842544
Curationis. 2019 May 29;42(1):e1-e9
pubmed: 31170800
Midwifery. 2016 Nov;42:29-37
pubmed: 27718384
BMC Pregnancy Childbirth. 2016 Mar 29;16:67
pubmed: 27026164
Midwifery. 2018 Jul;62:256-263
pubmed: 29730166
Lancet Glob Health. 2021 Jan;9(1):e24-e32
pubmed: 33275948
Hum Resour Health. 2017 Feb 15;15(1):14
pubmed: 28202047
Midwifery. 2018 Mar;58:64-70
pubmed: 29306098
PLoS Med. 2015 Jun 30;12(6):e1001849
pubmed: 26126175
BMC Pregnancy Childbirth. 2019 Oct 21;19(1):363
pubmed: 31638923
PLoS Med. 2015 Jun 30;12(6):e1001847; discussion e1001847
pubmed: 26126110
Women Birth. 2006 Jul;19(2):39-44
pubmed: 16890901
Midwifery. 2014 Jul;30(7):862-8
pubmed: 24456659
Women Birth. 2017 Aug;30(4):298-307
pubmed: 27955951
Scand J Caring Sci. 2011 Dec;25(4):806-17
pubmed: 21480938
Nurs Health Sci. 2013 Sep;15(3):398-405
pubmed: 23480423
Cochrane Database Syst Rev. 2016 Apr 28;4:CD004667
pubmed: 27121907
J Midwifery Womens Health. 2015 Jul-Aug;60(4):343-7
pubmed: 26255797
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Cochrane Database Syst Rev. 2017 Jul 06;7:CD003766
pubmed: 28681500
Midwifery. 2016 Aug;39:103-11
pubmed: 27321727
PLoS One. 2018 Apr 17;13(4):e0194906
pubmed: 29664907
Midwifery. 2016 Jan;32:21-9
pubmed: 26597110
Women Birth. 2016 Jun;29(3):269-78
pubmed: 26782088
Curationis. 2019 Jul 22;42(1):e1-e10
pubmed: 31368315
Hum Resour Health. 2019 Dec 4;17(1):93
pubmed: 31801578
BMC Pregnancy Childbirth. 2017 Oct 6;17(1):345
pubmed: 28985725
Curationis. 2010 Sep;33(3):5-14
pubmed: 21428234
Women Birth. 2018 Feb;31(1):e42-e50
pubmed: 28711397
Midwifery. 2004 Sep;20(3):261-72
pubmed: 15337282
Lancet. 2014 Sep 20;384(9948):1146-57
pubmed: 24965814
Midwifery. 2014 Oct;30(10):1063-72
pubmed: 24462189
Midwifery. 2016 Aug;39:98-102
pubmed: 27321726
J Clin Nurs. 2020 Jan;29(1-2):208-220
pubmed: 31633845
Scand J Caring Sci. 2007 Jun;21(2):220-8
pubmed: 17559441
PLoS One. 2019 Mar 28;14(3):e0211160
pubmed: 30921338
Reprod Health. 2017 Nov 16;14(1):151
pubmed: 29145897
S Afr Med J. 2018 Feb 27;108(3):149-150
pubmed: 30004351
Midwifery. 2016 Sep;40:18-25
pubmed: 27428094
Scand J Caring Sci. 2004 Dec;18(4):368-75
pubmed: 15598244
J Obstet Gynecol Neonatal Nurs. 2016 Mar-Apr;45(2):285-94
pubmed: 26820356
Midwifery. 2015 Aug;31(8):772-8
pubmed: 26001949