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Cankaya S, Can R. The effect of continuous supportive care on birth pain, birth fear, midwifery care perception, oxytocin use, and delivery time during the intrapartum period: An experimental study. Niger J Clin Pract 2021; 24:1624-1632. [PMID: 34782500 DOI: 10.4103/njcp.njcp_147_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Intrapartum professional midwifery support can improve the coping skills with the fear of childbirth and birth pain, increase the perception of the woman, and prevent negative experiences. However, there are relatively few studies supporting this postulation. Aims To investigate the effects of supportive care given during labor on birth pain, birth fear, perception of midwifery care, oxytocin use, and delivery time. Patients and Methods This is a quasi-experimental study. We collected the data between January and June 2019 in a province in Central Anatolia, Turkey. Primiparous 102 pregnant women were included in the study. However, we excluded five pregnant women from the intervention group and four pregnant women from the control group as emergency cesarean section developed. In total, 93 pregnant women, 46 in the continuous supportive care intervention group, and 47 in the usual intrapartum care control group were evaluated. The following tools were used to collect data: The Delivery Fear Scale, a Visual Analog Scale for perceived pain, the Scale of Women's Perception for Supportive Care Given During Labor, and labor outcomes information form. Results The participants in the intervention group receiving continuous intrapartum supportive care had less fear of birth and lower birth pain in the active and transitional stages of labor, their midwifery care perception increased, and the duration of labor was shorter (P < 0.05). However, there was no significant difference in oxytocin use between the two groups at 95% confidence interval (-0.265-0.091) (p > 0.05, Cohen's d = 0.2). Conclusion Pregnant women who received continuous intrapartum supportive care had less fear of birth and reduced labor pain in active and transitional stages of labor. In addition, with the continuous supportive care provided, the perception of midwifery care of the pregnant women increased and the duration of labor decreased. Therefore, midwifery care support should be provided to women throughout their labor and delivery process.
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Affiliation(s)
- S Cankaya
- Department of Midwifery, Health Sciences Faculty of Selcuk University, Konya, Turkey
| | - R Can
- Department of Midwifery, Health Sciences Faculty of Selcuk University, Konya, Turkey
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Adatara P, Amooba PA, Afaya A, Salia SM, Avane MA, Kuug A, Maalman RSE, Atakro CA, Attachie IT, Atachie C. Challenges experienced by midwives working in rural communities in the Upper East Region of Ghana: a qualitative study. BMC Pregnancy Childbirth 2021; 21:287. [PMID: 33836689 PMCID: PMC8033657 DOI: 10.1186/s12884-021-03762-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 03/30/2021] [Indexed: 11/24/2022] Open
Abstract
Background In 2017, a total of 295,000 women lost their lives due to pregnancy and childbirth across the globe, with sub-Saharan Africa and South Asia accounting for approximately 86 % of all maternal deaths. The maternal mortality ratio in Ghana is exceptionally high, with approximately 308 deaths/100,000 live births in 2017. Most of these maternal deaths occur in rural areas than in urban areas. Thus, we aimed to explore and gain insights into midwives’ experiences of working and providing women-centred care in rural northern Ghana. Methods A qualitative descriptive exploratory design was used to explore the challenges midwives face in delivering women-centred midwifery care in low-resource, rural areas. A total of 30 midwives practicing in the Upper East Region of Ghana were purposefully selected. Data were collected using individual semistructured interviews and analysed through qualitative content analysis. Results Five main themes emerged from the data analysis. These themes included were: inadequate infrastructure (lack of bed and physical space), shortage of midwifery staff, logistical challenges, lack of motivation, and limited in-service training opportunities. Conclusions Midwives experience myriad challenges in providing sufficient women-centred care in rural Ghana. To overcome these challenges, measures such as providing adequate beds and physical space, making more equipment available, and increasing midwifery staff strength to reduce individual workload, coupled with motivation from facility managers, are needed.
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Affiliation(s)
- Peter Adatara
- Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Volta Region, Ho, Ghana
| | - Philemon Adoliwine Amooba
- Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Agani Afaya
- Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Volta Region, Ho, Ghana. .,College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, 03722, Seoul, South Korea.
| | - Solomon Mohammed Salia
- Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Volta Region, Ho, Ghana
| | - Mabel Apaanye Avane
- Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Volta Region, Ho, Ghana
| | - Anthony Kuug
- Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Volta Region, Ho, Ghana
| | - Raymond Saa-Eru Maalman
- Department of Basic Medical Sciences, School of Medicine, University of Health and Allied Sciences, Volta Region, Ho, Ghana
| | | | - Irene Torshie Attachie
- Department of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Volta Region, Ho, Ghana
| | - Constancia Atachie
- Department of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Volta Region, Ho, Ghana
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Tanaka K, Kurniasari NMD, Widyanthini DN, Suariyani NLP, Listyowati R, Urayama A, Wirawan IMA, Yoshimura K. Perception of childbirth experiences of Japanese women in Bali, Indonesia: a qualitative study. BMC Pregnancy Childbirth 2020; 20:760. [PMID: 33287736 PMCID: PMC7720464 DOI: 10.1186/s12884-020-03466-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Accepted: 11/30/2020] [Indexed: 11/16/2022] Open
Abstract
Background Maternal healthcare services in Indonesia have seen dramatic improvements over the past 25 years and yet there is still room for improvement. The perception, by the women, of the perinatal care provided, is a vital input to further improving these services. This study examines how the perinatal care provided is experienced by Japanese women in Bali, using an interview survey. Methods We conducted semi-structured interviews, from August to October 2017, with 14 Japanese women living in Badung Regency and Denpasar City in Bali Province, Indonesia to report their perception of the perinatal care they experienced during their pregnancies. The interview guide included among others, the reasons for choosing specific (perinatal care) health facilities and their satisfaction with their experience of using the antenatal, delivery, and postnatal care services. The data were analysed using the qualitative content analysis method. Results From the interview data, 12 categories across five themes were extracted. Participants reported experiencing various concerns during their pregnancies such as difficulty in obtaining perinatal care related information. From the beginning of their pregnancies, participants gradually established trusting relationships with midwives, but in many situations, they were disappointed with their childbirth experiences, as they felt that the care provided was not woman-centred. Through their own efforts and with the support of family members and other Japanese residents, many women were able to eventually regard their childbirth experiences as positive. Nevertheless, some women could not overcome their negative impressions even years after childbirth. Conclusions Participants desired close attention and encouragement from nurses and midwives. Our results suggest that Japanese women in Bali expected a woman-centred perinatal care and active support from nursing/midwifery staff during their pregnancies and postnatal care. Supplementary Information The online version contains supplementary material available at 10.1186/s12884-020-03466-x.
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Affiliation(s)
- Kazuko Tanaka
- Division of Midwifery, Yamaguchi Prefectural University, 6-2-1, Sakurabatake, Yamaguchi, 753-0021, Japan. .,Faculty of Nursing and Human Nutrition, Department of Nursing, Yamaguchi Prefectural University, 6-2-1, Sakurabatake, Yamaguchi, 753-0021, Japan.
| | | | | | - Ni Luh Putu Suariyani
- School of Public Health, Udayana University, Jl. PB Sudirman, Denpasar, Bali, Indonesia
| | - Rina Listyowati
- School of Public Health, Udayana University, Jl. PB Sudirman, Denpasar, Bali, Indonesia
| | - Akimi Urayama
- Division of Midwifery, Yamaguchi Prefectural University, 6-2-1, Sakurabatake, Yamaguchi, 753-0021, Japan.,Faculty of Nursing and Human Nutrition, Department of Nursing, Yamaguchi Prefectural University, 6-2-1, Sakurabatake, Yamaguchi, 753-0021, Japan
| | - I Made Ady Wirawan
- School of Public Health, Udayana University, Jl. PB Sudirman, Denpasar, Bali, Indonesia
| | - Koichi Yoshimura
- Graduate School of Health and Welfare, Yamaguchi Prefectural University, 6-2-1, Sakurabatake, Yamaguchi, 753-0021, Japan
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Anderson G, Zega M, D'Agostino F, Rega ML, Colaceci S, Damiani G, Alvaro R, Cocchieri A. Meta-Synthesis of the Needs of Women Cared for by Midwives During Childbirth in Hospitals. J Obstet Gynecol Neonatal Nurs 2020; 50:6-19. [PMID: 33217368 DOI: 10.1016/j.jogn.2020.10.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2020] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVE To identify and meta-synthesize results of qualitative studies on the needs of women cared for by midwives during childbirth in hospitals. DATA SOURCES MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and the Cochrane Library. STUDY SELECTION We restricted the bibliographic search to articles published in English to July 31, 2020. The initial search yielded 6,407 articles, and after 2,504 duplicates were removed, we screened the titles and abstracts of 3,903 articles. We conducted a full-text review of 89 articles and included 13 qualitative studies about the needs of women who were hospitalized during childbirth and had midwives as their primary maternity care providers. DATA EXTRACTION We extracted data (e.g., authors, publication date, type of study, sample size, results, and quotes) from the full text of each article into a standardized table. Two authors reviewed all articles using the Critical Appraisal Skills Programme tool to assess study quality and to independently score each study. DATA SYNTHESIS We analyzed the findings of each study and synthesized them to develop themes. We found 14 major themes that reflected the needs of women during hospitalization for childbirth: Nutrition, Hygiene, Privacy, Information, Bodily Respect, Respect for Social Role, Family Intimacy, Shelter, Pain Management, Partnership, Movement, Reassurance, Support, and Empowerment. We categorized these themes in Maslow's hierarchy of needs to better understand the phenomenon. CONCLUSION We identified 14 needs that midwives and nurses can meet when they care for women in hospitals during childbirth. Standardized methods to assess these needs and to link them to specific interventions can be used by midwives and nurses, which will likely affect women's satisfaction with their experience and overall quality of care.
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Beserra GDL, Oliveira PMPD, Pagliuca LMF, Almeida PCD, Anjos SDJSBD, Barbosa AS. Verbal communication of the parturient nurse's dyad in the active phase of labor. Rev Bras Enferm 2020; 73:e20190266. [PMID: 32609215 DOI: 10.1590/0034-7167-2019-0266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Accepted: 09/28/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to analyze verbal communication between the nurse and the parturient during the active phase of labor in two Lusophone countries. METHODS quantitative analytical study. Sample of 709 interactions between nurses and parturients using verbal communication during the active phase of labor in Brazil and Cape Verde. The following variables were analyzed: companion, conative vocative, conative imperative, emotive/expressive and referential/context functions, contact/channel and code. RESULTS the absence of interaction predominated in most of the variables analyzed during the active phase of labor in both countries. In Cape Verde all interactions occurred during the absence of the companion. CONCLUSIONS considering the social and cultural aspects of each country, nurses need to develop skills to communicate verbally with the parturient, offering a better interaction during the parturition process.
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Afaya A, Dzomeku VM, Baku EA, Afaya RA, Ofori M, Agyeibi S, Boateng F, Gamor RO, Gyasi-Kwofie E, Mwini Nyaledzigbor PP. Women's experiences of midwifery care immediately before and after caesarean section deliveries at a public Hospital in the Western Region of Ghana. BMC Pregnancy Childbirth 2020; 20:8. [PMID: 31898533 PMCID: PMC6941249 DOI: 10.1186/s12884-019-2698-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Accepted: 12/23/2019] [Indexed: 11/12/2022] Open
Abstract
Background Childbirth remains a uniquely multifaceted, mental-cognitive and a major life experience to women. It is composed of a variety of psycho social and emotional aspects and creates memories, sometimes bad experiences and unmet expectations which leaves the mother with lasting scars. Therefore, this study aimed at exploring post-caesarean section delivered mothers experiences of midwifery care in a public hospital in Ghana. Methods This descriptive exploratory qualitative research used an interpretative approach to explore mothers’ experiences of midwifery care immediately before and after caesarean section (CS). The study employed a purposive sampling technique in recruiting 22 participants who had knowledge of the phenomenon under study. Data collection was guided by an interview guide, which involved face to face individual interviews and focus group discussion at the postnatal ward and clinic. All interviews were audio-recorded and lasted 30–40 min. Audio recordings were transcribed verbatim and inductive thematic data analysis employed. Results Four major themes emerged from the analysis of participants’ transcripts: Support by Midwives (physical and psychological, and attitude towards patients’ pain management); Protection of mothers (provision of privacy, confidentiality and physical environment); Provision of information/communication (before caesarean section, and before a minor task) and midwives’ attitude (attitude towards delivery care). Conclusion Mothers delivered by caesarean section had varied experiences of midwifery care which were both positive and negative ones. Provision of psychological support and adequate pain management were positive experiences. The challenges experienced were related to provision of information, privacy, and physical support. Participants, who underwent emergency CS in particular, were dissatisfied with the provision of information concerning the surgical procedure. Provision of privacy and physical support were also issues of great concern. We therefore, recommend supportive and sensitive midwifery care particularly for mothers undergoing emergency CS. Documenting women’s diverse experiences of midwifery care before and after CS delivery is important to healthcare providers, hospital managers and policy makers as the feedback garnered can be used to improve maternity services and inform decisions on midwifery care.
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Affiliation(s)
- Agani Afaya
- School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
| | | | - Elizabeth A Baku
- School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
| | - Richard Adongo Afaya
- Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Mavis Ofori
- School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
| | - Samuel Agyeibi
- School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
| | - Frederick Boateng
- School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
| | - Rosemond Ohwui Gamor
- School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
| | - Elsie Gyasi-Kwofie
- School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
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