The reasons for choosing a private practising midwife as birth attendant
- Authors: De Maayer, Ivy Lucy
- Date: 2011-11-24
- Subjects: Midwives , Midwifery , Prenatal care , Postnatal care , Childbirth at home
- Type: Thesis
- Identifier: uj:1740 , http://hdl.handle.net/10210/4089
- Description: M.Cur. , Few South African studies have been done with regard to private midwives and their clients. The practices of these midwives are overloaded, indicating a growing need for their services. An exploratory, contextual and descriptive study was undertaken to investigate some of the issues relating to the practice of the private midwife. This was done from the perspective ofthe women attending these practices. The aims of this study were to explore and describe how women experience the care they receive from their private midwives in Gauteng during antenatal visits, labour and postnatal contacts; to explore and describe the reasons for clients of private midwives in Gauteng to choose an independent midwife as birth attendant and to explore how these clients get to hear about their midwives. Eight women, attending a total of two different midwifery practices, were interviewed. The main categories that emerged from analysing the women's experience of private midwifery care were that the midwives were caring, family orientated, informative, knowledgeable, guiding and unintrusive. Time was both respected and given by the midwives. The midwives saw childbirth as a normal and natural process. The midwives empowered the women and left them in control oftheir childbirth. A mutual, intimate relationship was formed between the women and their midwives, which was based on trust and continuity of care. The women felt they were treated as unique individuals. One woman related some negative aspects ofthe care she received. A variety of reasons were given for choosing a private midwife as birth attendant. Some had specific wishes for their birth, such as a homebirth and knew that private midwives would grant them Other reasons included cost effectiveness, control over childbirth, one on one care, shorter waiting periods, longer consulting times and wanting an experienced birth attendant. Previous negative experience with staff at government hospitals and private gynaecologists; and hearing about positive experiences with private midwives also contributed to women opting for independent midwives. The women got to hear about their private midwives through their general practitioner, obstetrician, antenatal class instructor, friends, family members or health professional that delivered a previous baby. These research findings were supported by existing literature and recommendations were made to midwifery practice, education and research.
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Vroeë ontslag van nageboorte pasiënte
- Authors: Erasmus, Karen
- Date: 2011-11-30
- Subjects: Postnatal care , Breastfeeding , Motherhood , Newborn infants
- Type: Thesis
- Identifier: uj:1748 , http://hdl.handle.net/10210/4103
- Description: M.Cur. , A lot of mothers and babies are being discharged earlier from the hospital because of limits with the medical aids on the length of stay. In a few ofthese cases the mother and baby were readmitted because of health problems that persisted after they had been discharge. The question arises as to where the problem lies and what are the reasons so many patients are discharged with health problems and what can be done to prevent or reduce these problems. This study investigates the health status of the mother and their health problems on being discharged. The sample came from mothers with medical aids, in the post natal unit, in a selected clinic and ready to go home. Guidelines were developed to prevent these health problems or how to handle them differently. A literature study was undertaken on the normal physiological changes that take place with the birth of the baby and after the mothers have been discharged. According to this study changes and abnormalities could be identified. An instrument was developed to assess the mother's condition on discharge and to identify possible complications that could develop at home and obstruct health promotion. The results show that some of the mothers were discharged with one or other health problem that could cause severe problems at home. The biggest problem identified was with breast-feeding as well as oedema of the feet and hands. There were also a few mothers still unsure as to how to handle their babies. Guidelines were formed to help the nursing staff to supply information for the mother on early discharge and to help prevent health problems or to lessen them. The guidelines help the mothers to know how to look for the signs and symptoms of health problems at home Recommendations were made regarding future research on this issue.
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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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