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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- 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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The measurement of pain during the first stage of labour
- Authors: Yazbek, Mariatha
- Date: 2012-11-28
- Subjects: Labor (Obstetrics) , Pain measurement , Natural childbirth , Midwives
- Type: Thesis
- Identifier: uj:7413 , http://hdl.handle.net/10210/8243
- Description: D.Cur. , Midwives are responsible to assess pain before treating it; then they should reassess the pain to evaluate the effectiveness of the interventions and plan future therapy. Accurate and objective measures of labour pain continue to be scarce and the discrepancy in labour pain perceptions between parturients and health-care providers remains challenging. Various pain measurement tools are currently in use measuring chronic and acute pain, but many problems were encountered applying these methods to the woman in labour. The charts were detailed and required too much time to complete. The aim of the study was to develop a multidimensional labour pain assessment instrument to assist clinicians and midwives with labour pain control. Objectives for developing a valid and reliable instrument to accurately measure labour pain included refinement of the labour pain assessment instrument developed from literature, testing of the refined instrument on patients during labour, compilation of a final instrument and development of guidelines on how to implement the labour pain assessment instrument in nursing practice. A descriptive and exploratory approach was used to describe, evaluate, observe, explore and assemble new knowledge on assessment and measurement of pain during the first stage of labour. Development of the instrument was addressed in the literature chapter. The research was conducted in three phases, combining qualitative and quantitative research.During phase one, the instrument was refined in two stages. Focus group interviews were conducted with members regarded as knowledgeable in the field of normal labour who evaluated the face and content validity of the instrument. The most senior people teaching Midwifery at all South African universities evaluated the face and content validity of the instrument with an open-ended questionnaire thereafter, using the Delphi technique. The analysis of the first Delphi round was compared to the focus group analysis. The instrument was altered and submitted to the Delphi experts in a second open-ended questionnaire to confirm the alterations.
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- Authors: Yazbek, Mariatha
- Date: 2012-11-28
- Subjects: Labor (Obstetrics) , Pain measurement , Natural childbirth , Midwives
- Type: Thesis
- Identifier: uj:7413 , http://hdl.handle.net/10210/8243
- Description: D.Cur. , Midwives are responsible to assess pain before treating it; then they should reassess the pain to evaluate the effectiveness of the interventions and plan future therapy. Accurate and objective measures of labour pain continue to be scarce and the discrepancy in labour pain perceptions between parturients and health-care providers remains challenging. Various pain measurement tools are currently in use measuring chronic and acute pain, but many problems were encountered applying these methods to the woman in labour. The charts were detailed and required too much time to complete. The aim of the study was to develop a multidimensional labour pain assessment instrument to assist clinicians and midwives with labour pain control. Objectives for developing a valid and reliable instrument to accurately measure labour pain included refinement of the labour pain assessment instrument developed from literature, testing of the refined instrument on patients during labour, compilation of a final instrument and development of guidelines on how to implement the labour pain assessment instrument in nursing practice. A descriptive and exploratory approach was used to describe, evaluate, observe, explore and assemble new knowledge on assessment and measurement of pain during the first stage of labour. Development of the instrument was addressed in the literature chapter. The research was conducted in three phases, combining qualitative and quantitative research.During phase one, the instrument was refined in two stages. Focus group interviews were conducted with members regarded as knowledgeable in the field of normal labour who evaluated the face and content validity of the instrument. The most senior people teaching Midwifery at all South African universities evaluated the face and content validity of the instrument with an open-ended questionnaire thereafter, using the Delphi technique. The analysis of the first Delphi round was compared to the focus group analysis. The instrument was altered and submitted to the Delphi experts in a second open-ended questionnaire to confirm the alterations.
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Expectations of pregnant women regarding antenatal care
- Authors: Baloyi, Johanna Mmabojalwa
- Date: 2012-02-27
- Subjects: Prenatal care , Pregnancy , Midwives , Childbirth
- Type: Mini-Dissertation
- Identifier: uj:2077 , http://hdl.handle.net/10210/4424
- Description: M.Cur. , The study aims at exploring and describing the expectations that pregnant women have of an antenatal care clinic service and the formulation of guidelines for the implementation of an effective antenatal care service by the midwife practitioner. In-depth interviews were conducted with a sample of eighteen pregnant women in this study. Methods of data analysis according to Tesch (1990) were applied. Guba and Lincoln's method of ensuring trustworthiness was adopted. Literature control was undertaken to compare the findings of this study with those of other previous studies. Women displayed several common expectations that led to the saturation of data. The conclusions that were reached led to the notation of limitations, recommendations for nursing practice, education, research and the formulation of guidelines for the midwife practitioner for the implementation of effective antenatal care, based on the identified expectations.
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- Authors: Baloyi, Johanna Mmabojalwa
- Date: 2012-02-27
- Subjects: Prenatal care , Pregnancy , Midwives , Childbirth
- Type: Mini-Dissertation
- Identifier: uj:2077 , http://hdl.handle.net/10210/4424
- Description: M.Cur. , The study aims at exploring and describing the expectations that pregnant women have of an antenatal care clinic service and the formulation of guidelines for the implementation of an effective antenatal care service by the midwife practitioner. In-depth interviews were conducted with a sample of eighteen pregnant women in this study. Methods of data analysis according to Tesch (1990) were applied. Guba and Lincoln's method of ensuring trustworthiness was adopted. Literature control was undertaken to compare the findings of this study with those of other previous studies. Women displayed several common expectations that led to the saturation of data. The conclusions that were reached led to the notation of limitations, recommendations for nursing practice, education, research and the formulation of guidelines for the midwife practitioner for the implementation of effective antenatal care, based on the identified expectations.
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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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- 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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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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- 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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