Becoming a mother : teenage mothers' experiences of first pregnancy
- Authors: Maputle, Maria Sonto
- Date: 2012-08-28
- Subjects: Teenage pregnancy - Research - South Africa - Northern Province , Sex instruction for teenagers - Research - South Africa - Northern Province , Health counseling - Research - South Africa - Northern Province
- Type: Mini-Dissertation
- Identifier: uj:3276 , http://hdl.handle.net/10210/6682
- Description: M.Cur. , Teenage mothers who are pregnant for the first time at particular clinics and one hospital at the central region of the Northern Province experience lack of information regarding human reproduction, conception and signs of pregnancy. Reproductive Health services are poorly utilized. This, coupled with ignorance often leads to unplanned teenage pregnancies. There is also a delay in seeking of prenatal health care services, with minimal emotional and social support for family members, friends and partners. The research undertaken here were aimed at determining the needs of pregnant teenage mothers based on their experiences in order to facilitate the provision of services that will address such needs. The objective was to establish the experiences of teenage mothers during their first pregnancy and to describe and formulate guidelines from the information obtained. The research design used in this study was exploratory, descriptive and qualitative which is contextual in nature. A phenomenological approach was used. The study population sample was purposively selected at a particular clinic in the central region of the Northern Province. Fourteen (14) teenage mothers who are pregnant for the first time were interviewed until saturation was reached as was reflected in the repeating themes. In-depth unstructured interviews were conducted. All participants responded to an open-ended question "Could you please tell me about your experiences of first pregnancy?" To ensure trustworthiness Lincoln and Guba's model (1985) was implemented. Data analysis were according to the method Tesch (1990 in Creswell, 1994:155) based on the qualitative approach. A literature control was performed to verify the results. Five themes emerged as the experiences of teenage mothers, namely, lack of information, unplanned pregnancies, ineffective communication, minimal emotional and social support, and under-utilization of prenatal services. Guidelines and recommendations are proposed to assist midwives in meeting the needs of the teenage mothers who are pregnant for the first time.
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A model for woman-centered childbirth
- Authors: Maputle, Maria Sonto
- Date: 2008-11-18T08:33:52Z
- Subjects: Midwives , Childbirth , Maternal health services , Limpopo (South Africa)
- Type: Thesis
- Identifier: uj:14718 , http://hdl.handle.net/10210/1723
- Description: D.Cur. , The overall objective of this study was to describe the model and criteria for woman-centered care that will serve as a theoretical framework for implementing the Batho-Pele Principles in order to facilitate mutual participation between mothers and attending midwives during childbirth at one hospital of the Capricorn district in the Limpopo Province. The phases followed in this study were as follows: Phase 1: Concept Identification The concept identification was achieved through the use of a qualitative research approach which was exploratory, descriptive, contextual and inductive. A sample of 24 mothers and 12 attending midwives participated in the study. Different data collection methods were utilized. Data obtained from unstructured in-depth interviews were analyzed according to the protocol by Tesch (1990; cited in Cresswell, 1994:155). Data analysis from participant observation using semistructured observation and VAS were performed quantitatively by using frequency distribution. The results of interviews indicated experiences that foster/promote dependency in midwifery care. Woman-centered care was identified as a core category and as a central approach that would enhance mutual participation during childbirth. To ensure valid results, a model of trustworthiness as proposed by Lincoln and Guba (1985: 301-318) was utilized. Phase 2: Concept Analysis Following the concept identification, the concept analysis of a core category ‘woman-centered care’ was conducted using the framework as described by Walker and Avant (1995). Phase 3: Development of the Model and Criteria This phase dealt with the description of the structure and process of the model. Strategies were proposed, described and recommended to implement the model where there is interaction of a mother (patient) and a midwife (nurse). Evaluation of the model was done by having dialogue with experts and by utilizing Chinn and Kramer’s (1995:134-135) guidelines for evaluating theory. The criteria for womancentered care were formulated. A unique contribution of this study is the concept analysis of woman-centered care, the development and description of the womancentered childbirth model and the formulation of criteria for woman-centered care.
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