Women’s Views of and Responses to Maternity Services Rendered during Labor and Childbirth in Maternity Units in a Semi-Rural District in South Africa
| Autor: | Elizabeth Zitha, Mathilda M. Mokgatle |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Adolescent Attitude of Health Personnel Health Toxicology and Mutagenesis media_common.quotation_subject lcsh:Medicine labor and childbirth Verbal abuse Article verbal abuse disrespectful care Nonprobability sampling South Africa Young Adult 03 medical and health sciences Interpersonal relationship 0302 clinical medicine Nursing Pregnancy Humans Childbirth Maternal Health Services 030212 general & internal medicine interpersonal relations Qualitative Research reproductive and urinary physiology Quality of Health Care media_common 030219 obstetrics & reproductive medicine Politeness lcsh:R Parturition Public Health Environmental and Occupational Health Rural district Professional-Patient Relations Delivery Obstetric midwife obstetric units Female maternal care Thematic analysis Psychology Qualitative research |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 14 International Journal of Environmental Research and Public Health, Vol 17, Iss 5035, p 5035 (2020) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17145035 |
| Popis: | Facility-based delivery is an important strategy to prevent poor labor outcomes, and midwives are at the center of maternal care. However, disrespectful and abusive maternal care by midwives is prevalent and leads to poor antenatal care utilization and increased numbers of home deliveries. The objective of the study was to assess the views of women about the care they received during labor and childbirth and describe the interactions between the women and the midwives. This was a qualitative study using in-depth interviews with women who had delivered in midwife obstetric units at a district hospital in Tshwane District, South Africa. Twenty-six women aged 18&ndash 41 years, and had delivered within the previous six months were selected, using purposive sampling. A thematic content analysis approach and NVivo11 computer software were used to identify emergent themes. Most women had had negative experiences of the maternity services they had received during labor and childbirth. Shouting and rude remarks by midwives caused tension between the midwives and the women and had created a major barrier for communication. The abuse and disrespect that the women were subjected to had created a hostile and uncaring environment for them. They felt stressed, fearful, and anxious throughout labor and childbirth. In response to the hostile environment, they employed manipulative tactics such as pushing before time in the hope of getting attention. These acts resulted in punitive responses from the midwives who joined forces against them, reprimanded, or ignored them. Good interactions, described as being respectful, approachable, and polite, and the sharing of information yielded positive experiences of maternity care. The state of maternity services rendered during labor and childbirth is counterproductive to the existing plan of increasing early antenatal care bookings and presentation to the facilities for labor and childbirth. There is a need to retrain midwives in the respectful care of women during labor and childbirth to facilitate a change in their attitudes. |
| Databáze: | OpenAIRE |
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