Attitudes of midwives towards the use of traditional medicine among pregnant women in Nelson Mandela Bay
- Simelane, Nompumelelo Andiswa
- Authors: Simelane, Nompumelelo Andiswa
- Date: 2018
- Subjects: Midwifery -- South Africa -- Nelson Mandela Bay Municipality , Pregnancy -- Alternative treatment -- South Africa -- Nelson Mandela Bay Municipality Women's health services -- Social aspects -- South Africa -- Nelson Mandela Bay Municipality Traditional medicine -- South Africa -- Nelson Mandela Bay Municipality Integrative medicine -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/23197 , vital:30452
- Description: The use of traditional medicines by pregnant women is a global concern. Despite limited theoretical evidence on the safety profile of traditional medicines to substantiate their use in pregnancy, expectant mothers are found to be widely using them. Safety concerns related to traditional medicine use in pregnancy include its use during the critical embryonic period, antenatal and intrapartum periods. These medications were associated with complications such as obstructed labour, foetal distress, emergency caesarean sections having to be performed and neonates delivered with low Apgar scorings. Midwives are usually the first and at times the only healthcare providers that come into contact with pregnant women. It was therefore necessary to investigate the midwives’ attitudes towards the use of traditional medicine among pregnant women. The objectives of this study were to: Explore and describe the attitudes of midwives towards the use of traditional medicine in Nelson Mandela Bay. Based on the findings of the study, make recommendations for midwives and nurse managers on how they could inform pregnant women of the benefits and harms of using traditional medicine during pregnancy. The study was conducted between November 2016 and January 2017, using a quantitative approach with an explorative, descriptive, and contextual design having obtained the necessary approval from the university and relevant authorities. The research population was midwives who work in maternity units in Nelson Mandela Bay. Self-administered questionnaires were used to collect data from conveniently sampled participants using set inclusion and exclusion criteria after obtaining informed consent. Data were captured by the researcher on a Microsoft Excel spread sheet and were reduced and analysed with the help of a statistician using the software package IBM SPSS Statistics 24 to ensure efficacy of the results. One hundred and twenty questionnaires were distributed and 89 were returned, yielding a 74% response rate. From the research findings, midwives in the Nelson Mandela Bay do not support the use of traditional medicine during pregnancy. Midwives acknowledged their responsibility to enquire and provide relevant information regarding the use of traditional medicine in pregnancy. Furthermore, midwives associated the use of traditional medicine with womens’ cultural diversity and lack of knowledge about pregnancy and labour. Based on these findings, recommendations for midwives and nurse managers on how they could inform pregnant women of the benefits and harms of using traditional medicine during pregnancy were made. Further recommendations were made for midwifery practice, nursing education and future research. The researcher used a literature control to ensure validation and integrity of the study. Further quality of the study was maintained by observing the principles of reliability and validity. Ethical considerations were guided by the Belmont Report adopting the principles of respect for persons, beneficence, and justice.
- Full Text:
- Date Issued: 2018
- Authors: Simelane, Nompumelelo Andiswa
- Date: 2018
- Subjects: Midwifery -- South Africa -- Nelson Mandela Bay Municipality , Pregnancy -- Alternative treatment -- South Africa -- Nelson Mandela Bay Municipality Women's health services -- Social aspects -- South Africa -- Nelson Mandela Bay Municipality Traditional medicine -- South Africa -- Nelson Mandela Bay Municipality Integrative medicine -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/23197 , vital:30452
- Description: The use of traditional medicines by pregnant women is a global concern. Despite limited theoretical evidence on the safety profile of traditional medicines to substantiate their use in pregnancy, expectant mothers are found to be widely using them. Safety concerns related to traditional medicine use in pregnancy include its use during the critical embryonic period, antenatal and intrapartum periods. These medications were associated with complications such as obstructed labour, foetal distress, emergency caesarean sections having to be performed and neonates delivered with low Apgar scorings. Midwives are usually the first and at times the only healthcare providers that come into contact with pregnant women. It was therefore necessary to investigate the midwives’ attitudes towards the use of traditional medicine among pregnant women. The objectives of this study were to: Explore and describe the attitudes of midwives towards the use of traditional medicine in Nelson Mandela Bay. Based on the findings of the study, make recommendations for midwives and nurse managers on how they could inform pregnant women of the benefits and harms of using traditional medicine during pregnancy. The study was conducted between November 2016 and January 2017, using a quantitative approach with an explorative, descriptive, and contextual design having obtained the necessary approval from the university and relevant authorities. The research population was midwives who work in maternity units in Nelson Mandela Bay. Self-administered questionnaires were used to collect data from conveniently sampled participants using set inclusion and exclusion criteria after obtaining informed consent. Data were captured by the researcher on a Microsoft Excel spread sheet and were reduced and analysed with the help of a statistician using the software package IBM SPSS Statistics 24 to ensure efficacy of the results. One hundred and twenty questionnaires were distributed and 89 were returned, yielding a 74% response rate. From the research findings, midwives in the Nelson Mandela Bay do not support the use of traditional medicine during pregnancy. Midwives acknowledged their responsibility to enquire and provide relevant information regarding the use of traditional medicine in pregnancy. Furthermore, midwives associated the use of traditional medicine with womens’ cultural diversity and lack of knowledge about pregnancy and labour. Based on these findings, recommendations for midwives and nurse managers on how they could inform pregnant women of the benefits and harms of using traditional medicine during pregnancy were made. Further recommendations were made for midwifery practice, nursing education and future research. The researcher used a literature control to ensure validation and integrity of the study. Further quality of the study was maintained by observing the principles of reliability and validity. Ethical considerations were guided by the Belmont Report adopting the principles of respect for persons, beneficence, and justice.
- Full Text:
- Date Issued: 2018
Knowledge of midwives at Community Health Centres and Midwife Obstetrics Units in the Nelson Mandela Bay regarding the use of the Road-to-Health Chart
- Dumisani-Ndlovu, Sidumisile Charity, Sonti, Balandeli S I, James, S
- Authors: Dumisani-Ndlovu, Sidumisile Charity , Sonti, Balandeli S I , James, S
- Date: 2017
- Subjects: Children -- South Africa -- Nelson Mandela Bay Municipality -- Growth , Midwifery -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21692 , vital:29733
- Description: The challenge of child mortality between the ages of 0 and 5 years has extensively increased over the past few years. Furthermore, the ever-evolving and complex consequences of ineffective monitoring of children’s growth and development have been identified as one of the reasons for this increase in child mortality. The Road-to-Health Chart was developed and redesigned for use by child nurses and midwives to monitor children’s growth and development. The purpose of this study was to investigate whether the midwives at community healthcare centres in the Nelson Mandela Bay area had the necessary knowledge to utilise the Road-to-Health Chart effectively. Permission to conduct the study was sought from the Nelson Mandela Metropolitan University, the Department of Health and the participants. A quantitative, non-experimental descriptive survey was used in this research. The population consisted of all the midwives working in the Midwife Obstetric Unit and community healthcare centres within the Nelson Mandela Bay Municipal area. The sample was extracted from the targeted population but from willing participants that met the inclusion criteria. The research data-collection method was a self-developed questionnaire with closed-ended statements to measure the knowledge of how effectively the midwives in the Nelson Mandela Bay area were using the RTHC. The researcher ensured the validity of the questionnaire by focusing on the instrument’s validity, construct validity, content validity and face validity. Ethical considerations, including permission, informed consent, confidentiality and anonymity, were adhered to. The most significant findings showed that midwives at CHCs and MOUs in the Nelson Mandel Bay area were knowledgeable about the importance of the RTHC to the mother and child and the use of the RTHC. These findings may assist in the identification of measures to enhance the knowledge of midwives about the use of the RTHC thus ultimately facilitating the use of the RTHC by mothers as intended.
- Full Text:
- Date Issued: 2017
- Authors: Dumisani-Ndlovu, Sidumisile Charity , Sonti, Balandeli S I , James, S
- Date: 2017
- Subjects: Children -- South Africa -- Nelson Mandela Bay Municipality -- Growth , Midwifery -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21692 , vital:29733
- Description: The challenge of child mortality between the ages of 0 and 5 years has extensively increased over the past few years. Furthermore, the ever-evolving and complex consequences of ineffective monitoring of children’s growth and development have been identified as one of the reasons for this increase in child mortality. The Road-to-Health Chart was developed and redesigned for use by child nurses and midwives to monitor children’s growth and development. The purpose of this study was to investigate whether the midwives at community healthcare centres in the Nelson Mandela Bay area had the necessary knowledge to utilise the Road-to-Health Chart effectively. Permission to conduct the study was sought from the Nelson Mandela Metropolitan University, the Department of Health and the participants. A quantitative, non-experimental descriptive survey was used in this research. The population consisted of all the midwives working in the Midwife Obstetric Unit and community healthcare centres within the Nelson Mandela Bay Municipal area. The sample was extracted from the targeted population but from willing participants that met the inclusion criteria. The research data-collection method was a self-developed questionnaire with closed-ended statements to measure the knowledge of how effectively the midwives in the Nelson Mandela Bay area were using the RTHC. The researcher ensured the validity of the questionnaire by focusing on the instrument’s validity, construct validity, content validity and face validity. Ethical considerations, including permission, informed consent, confidentiality and anonymity, were adhered to. The most significant findings showed that midwives at CHCs and MOUs in the Nelson Mandel Bay area were knowledgeable about the importance of the RTHC to the mother and child and the use of the RTHC. These findings may assist in the identification of measures to enhance the knowledge of midwives about the use of the RTHC thus ultimately facilitating the use of the RTHC by mothers as intended.
- Full Text:
- Date Issued: 2017
Experiences of women who gave birth before arrival at a midwife obstetric unit
- Authors: Fouché, Moira Sandy
- Date: 2016
- Subjects: Midwifery -- South Africa -- Nelson Mandela Bay Municipality , Pregnant women -- South Africa -- Nelson Mandela Bay Municipality , Maternity nursing -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/7176 , vital:21290
- Description: Pregnant women expect to give birth in a safe environment conducive to a safe delivery such as the hospital. In some cases the birth does not always work out as planned as labour is unpredictable and circumstances may lead to the woman giving birth before arriving at the hospital. For some women the outcome of the experience could have a positive effect while most of the time it is a negative effect such as embarrassment and disappointment. The researcher, an experienced midwife, observed in the unit where she works of the steady increase in women who were admitted as experiencing birth before arrival. The women will at times be reluctant to respond to questions on admission regarding their labour process and also tend not to focus on the needs of the baby. When the mother is discharged, one is left wondering what will happen to the infant at home. Hence, this study had the following objectives: to explore and describe the women’s experiences of giving birth before arrival at a midwife obstetric unit in the Nelson Mandela Bay Municipal area and secondly, to use the findings of the study to make recommendations to assist midwives to support women who have experienced birth before arrival at a midwife obstetric unit. This study was a qualitative, explorative, descriptive and contextual research study. The research population included all the women who had birth-before-arrival deliveries at the midwife obstetric unit in the Nelson Mandela Bay Municipal area. The criteria for inclusion were women who had experienced birth before arrival between October 2014 and December 2014; women who had been admitted to an midwife obstetric unit and not referred to a tertiary level of care, but discharged home; women whose babies were still alive; women who had spent at least eight hours and not more than twelve hours in the midwife obstetric unit and women older than 18 years of age. Purposive sampling was used. The researcher conducted semi-structured one-on-one interviews which were captured by means of an audio-tape recorder to collect data. Taking field notes was part of the interview session. Analysis of data was done according to Tesch’s method of data analysis. The supervisor and an independent coder assisted with the analysis to confirm the data and help develop themes. To ensure rigour in the study, the Lincoln and Guba model of trustworthiness was used, which encompasses truth value, applicability, consistency and neutrality. The research was done in an ethical manner whereby autonomy and respect, beneficence, non-maleficence and justice were maintained by the researcher. The researcher maintained privacy and confidentiality by numbering the interviews and not revealing the participant’s identity. The collected data was kept under lock and key and was only discussed with the research supervisor and the independent coder. The interviews were conducted in a private and safe place without any interruptions. Two main themes emerged from the data analysis. Theme one – A birth before arrival at the midwifery facility is an emotional experience for the mother. Theme two - Mothers described diverse experiences related to emergency childbirth care. Based on the findings of the study, the relevant recommendations were made to improve the overall management of women who experience birth before arrival. The recommendations will be utilised by the midwives in maternity units and primary health-care practitioners in the clinics attending to pregnant women.
- Full Text:
- Date Issued: 2016
- Authors: Fouché, Moira Sandy
- Date: 2016
- Subjects: Midwifery -- South Africa -- Nelson Mandela Bay Municipality , Pregnant women -- South Africa -- Nelson Mandela Bay Municipality , Maternity nursing -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/7176 , vital:21290
- Description: Pregnant women expect to give birth in a safe environment conducive to a safe delivery such as the hospital. In some cases the birth does not always work out as planned as labour is unpredictable and circumstances may lead to the woman giving birth before arriving at the hospital. For some women the outcome of the experience could have a positive effect while most of the time it is a negative effect such as embarrassment and disappointment. The researcher, an experienced midwife, observed in the unit where she works of the steady increase in women who were admitted as experiencing birth before arrival. The women will at times be reluctant to respond to questions on admission regarding their labour process and also tend not to focus on the needs of the baby. When the mother is discharged, one is left wondering what will happen to the infant at home. Hence, this study had the following objectives: to explore and describe the women’s experiences of giving birth before arrival at a midwife obstetric unit in the Nelson Mandela Bay Municipal area and secondly, to use the findings of the study to make recommendations to assist midwives to support women who have experienced birth before arrival at a midwife obstetric unit. This study was a qualitative, explorative, descriptive and contextual research study. The research population included all the women who had birth-before-arrival deliveries at the midwife obstetric unit in the Nelson Mandela Bay Municipal area. The criteria for inclusion were women who had experienced birth before arrival between October 2014 and December 2014; women who had been admitted to an midwife obstetric unit and not referred to a tertiary level of care, but discharged home; women whose babies were still alive; women who had spent at least eight hours and not more than twelve hours in the midwife obstetric unit and women older than 18 years of age. Purposive sampling was used. The researcher conducted semi-structured one-on-one interviews which were captured by means of an audio-tape recorder to collect data. Taking field notes was part of the interview session. Analysis of data was done according to Tesch’s method of data analysis. The supervisor and an independent coder assisted with the analysis to confirm the data and help develop themes. To ensure rigour in the study, the Lincoln and Guba model of trustworthiness was used, which encompasses truth value, applicability, consistency and neutrality. The research was done in an ethical manner whereby autonomy and respect, beneficence, non-maleficence and justice were maintained by the researcher. The researcher maintained privacy and confidentiality by numbering the interviews and not revealing the participant’s identity. The collected data was kept under lock and key and was only discussed with the research supervisor and the independent coder. The interviews were conducted in a private and safe place without any interruptions. Two main themes emerged from the data analysis. Theme one – A birth before arrival at the midwifery facility is an emotional experience for the mother. Theme two - Mothers described diverse experiences related to emergency childbirth care. Based on the findings of the study, the relevant recommendations were made to improve the overall management of women who experience birth before arrival. The recommendations will be utilised by the midwives in maternity units and primary health-care practitioners in the clinics attending to pregnant women.
- Full Text:
- Date Issued: 2016
Perceptions of Nelson Mandela Metropolitan obstetric unit midwives regarding consulting advanced midwives
- Sonti, Balandeli Siphumelele Israel
- Authors: Sonti, Balandeli Siphumelele Israel
- Date: 2015
- Subjects: Midwives -- South Africa -- Nelson Mandela Bay Municipality , Midwifery -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10074 , http://hdl.handle.net/10948/d1021196
- Description: The perceptions of Nelson Mandela Metropolitan Municipality obstetric unit midwives regarding consulting advanced midwives were researched. Currently South Africa is burdened with an increasing maternal mortality rate despite the control measures that have been put in place. One of those control measures is the skilling of midwives and ensuring that skilled birth attendants assist every woman in confinement. A concern, though, was observed by the researcher that an increasing number of midwives in the country now have an additional qualification in advanced midwifery and yet the maternal and neonatal mortality rates are gradually increasing. The researcher, as a midwife and a midwifery lecturer in that capacity, observed that in the clinical areas midwives prefer to consult with the doctor rather than the advanced midwife. In most cases looking and waiting for the doctor delays the management of the labouring woman as the doctor may not be immediately available. The advanced midwives are supposed to have advanced skills which should be used to assist in the absence of the doctor, particularly in the midwife obstetrics units. The study objectives were firstly, to describe and explore the perceptions of NMM obstetric unit midwives regarding consulting with advanced midwives. Secondly, based on the results of the study, to make recommendations to the managers of the obstetric units within the NMM that will enhance consulting between advanced midwives and midwives in obstetric units. The study was quantitative in nature and utilised an explorative, descriptive and contextual design. Sampling was made possible through simple random probability sampling using the non-replacement approach. The method of data collection was by self-administered questionnaires that were developed by the researcher under the guidance of a qualified and experienced statistician and researcher and the supervision of the research supervisor. Data was collected during July and September of 2014. One hundred and thirty questionnaires were distributed and ninety four were returned. Responses were captured on a spread sheet for easy and accurate calculation and the numerical data was categorized, ordered and manipulated with the help of a statistician using the software package Statistica Version 21 to ensure efficacy of the results The findings were presented by describing the biographic profile of participants, their competence in the identification and management of high risk situations, their consultation with advanced midwives in high risk situations, their reasons for not consulting advanced midwives and a description of factors that might encourage midwives to consult the advanced midwives. Literature controls were utilized to compare findings with current views of other researchers. Trustworthiness was maintained by observing the principles of reliability and validity. The ethical considerations of confidentiality, anonymity and protection of the participants from harm were maintained by the researcher. The findings revealed that there were significant numbers of midwives with many years of clinical experience and years in the units. The age difference of the midwives in the obstetrics units was seen to be an added advantage to the care of women as the young and old could complement each other with the latest information and experience in dealing with midwifery related emergencies respectively. The difference in gender was as expected but did not have an influence on the non-consulting with advanced midwives by the midwives who are working in the obstetrics units. Also, the limited confidence of midwives regarding their performance of certain low risk skills and their confidence in the performance of the advanced midwives was a reason to consult with the advanced midwives in their areas of speciality. Based on these findings, the researcher attended to the second objective and made the necessary recommendations to the managers of the obstetric units within the NMM to enhance consulting with advanced midwives by midwives in obstetric units. Midwives globally would gain information that would assist them in motivating recommendations to the managers of the obstetric units with regard to consulting with advanced midwives by midwives in their obstetric units.
- Full Text:
- Date Issued: 2015
- Authors: Sonti, Balandeli Siphumelele Israel
- Date: 2015
- Subjects: Midwives -- South Africa -- Nelson Mandela Bay Municipality , Midwifery -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10074 , http://hdl.handle.net/10948/d1021196
- Description: The perceptions of Nelson Mandela Metropolitan Municipality obstetric unit midwives regarding consulting advanced midwives were researched. Currently South Africa is burdened with an increasing maternal mortality rate despite the control measures that have been put in place. One of those control measures is the skilling of midwives and ensuring that skilled birth attendants assist every woman in confinement. A concern, though, was observed by the researcher that an increasing number of midwives in the country now have an additional qualification in advanced midwifery and yet the maternal and neonatal mortality rates are gradually increasing. The researcher, as a midwife and a midwifery lecturer in that capacity, observed that in the clinical areas midwives prefer to consult with the doctor rather than the advanced midwife. In most cases looking and waiting for the doctor delays the management of the labouring woman as the doctor may not be immediately available. The advanced midwives are supposed to have advanced skills which should be used to assist in the absence of the doctor, particularly in the midwife obstetrics units. The study objectives were firstly, to describe and explore the perceptions of NMM obstetric unit midwives regarding consulting with advanced midwives. Secondly, based on the results of the study, to make recommendations to the managers of the obstetric units within the NMM that will enhance consulting between advanced midwives and midwives in obstetric units. The study was quantitative in nature and utilised an explorative, descriptive and contextual design. Sampling was made possible through simple random probability sampling using the non-replacement approach. The method of data collection was by self-administered questionnaires that were developed by the researcher under the guidance of a qualified and experienced statistician and researcher and the supervision of the research supervisor. Data was collected during July and September of 2014. One hundred and thirty questionnaires were distributed and ninety four were returned. Responses were captured on a spread sheet for easy and accurate calculation and the numerical data was categorized, ordered and manipulated with the help of a statistician using the software package Statistica Version 21 to ensure efficacy of the results The findings were presented by describing the biographic profile of participants, their competence in the identification and management of high risk situations, their consultation with advanced midwives in high risk situations, their reasons for not consulting advanced midwives and a description of factors that might encourage midwives to consult the advanced midwives. Literature controls were utilized to compare findings with current views of other researchers. Trustworthiness was maintained by observing the principles of reliability and validity. The ethical considerations of confidentiality, anonymity and protection of the participants from harm were maintained by the researcher. The findings revealed that there were significant numbers of midwives with many years of clinical experience and years in the units. The age difference of the midwives in the obstetrics units was seen to be an added advantage to the care of women as the young and old could complement each other with the latest information and experience in dealing with midwifery related emergencies respectively. The difference in gender was as expected but did not have an influence on the non-consulting with advanced midwives by the midwives who are working in the obstetrics units. Also, the limited confidence of midwives regarding their performance of certain low risk skills and their confidence in the performance of the advanced midwives was a reason to consult with the advanced midwives in their areas of speciality. Based on these findings, the researcher attended to the second objective and made the necessary recommendations to the managers of the obstetric units within the NMM to enhance consulting with advanced midwives by midwives in obstetric units. Midwives globally would gain information that would assist them in motivating recommendations to the managers of the obstetric units with regard to consulting with advanced midwives by midwives in their obstetric units.
- Full Text:
- Date Issued: 2015
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