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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Standaarde vir perinatale onderrig
- Authors: Richter, Magdalena Sophia
- Date: 2012-09-05
- Subjects: Perinatology -- Study and teaching -- Standards , Maternal health services , Newborn infants -- Care -- Study and teaching
- Type: Thesis
- Identifier: uj:3549 , http://hdl.handle.net/10210/6934
- Description: D.Cur. , Quality control in perinatal education is imperative, with the purpose to deliver a high quality and appropriate healthcare service to the family in the peri natal period. The purpose of this study was to develop valid standards for perinatal education in South Africa. To reach this goal, the study proceeded as follows: Development phase -concepts were developed for perinatal education, -the concepts were logically systematised and formulated in concept standards, -the standards were presented for peer group review with the purpose of refinement and further development. Quantification phase: - the statistical validity of the standards was determined/calculated. After completion of the study the researcher reached the conclusion that quality perinatal education must adhere to the following standards: A philosophy for perinatal education must exist; The perinatal facilitator must be a well trained professional person, and must possess certain personal traits; The perinatal education style/method must adapt according to the client's socio-economic status, age, marital status and needs; The perinatal facilitator must make use of acknowledged teaching methods and techniques in order to facilitate learning; The perinatal education must comply with certain minimum requirements in order to make it accessible and acceptable to the client; The perinatal facilitator must complete a preparatory phase before she is allowed to give education; A perinatal education programme must have a curriculum that can be adapted to the client's circumstances; Perinatal education must be presented purposefully; The end result of perinatal education must focus on a healthy baby and a healthy, empowered mother, family and community.
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Factors influencing women’s choice of postpartum family planning method in midwife obstetric units in Gauteng
- Authors: Zwane, Gabisile Pretty
- Date: 2020
- Subjects: Birth control - South Africa - Gauteng , Maternal health services , Postnatal care , Midwives
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/476593 , uj:43033
- Description: Abstract: A total of 989 318 births were registered in South Africa in 2017, which indicated a 2.1% increase from the 969 415 birth registrations in 2016, most of which were as a result of unplanned pregnancies. South African women with low levels of education have a higher prevalence of unplanned pregnancies. The World Health Organization defines family planning as allowing individuals to foresee and accomplish their desired number of children and decide on the spacing and timing of their births. Postpartum family planning is important as it reduces the risks of unplanned pregnancies and risks associated with closely spaced pregnancies, including preterm delivery, low birth weight and maternal and child mortality. The South African Department of Health provides family planning free of charge as part of a broader sexual and reproductive health package. The researcher, working in a postnatal ward at a maternity and obstetric unit, observed that the correct steps are not implemented in providing women with the correct information regarding family planning methods, just before they are discharged from the hospital... , M.Cur. (Nursing Science)
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