Midwives perceptions: Birth unit environment and the implementation of best intrapartum care practices |
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| Affiliation: | 1. Public Hospital in Gauteng Province, South Africa;2. Sefako Makgatho Health Sciences University, The School of Health Care Sciences, Department of Nursing Sciences, PO Box 142, Medunsa 0204, South Africa;1. UNFPA, Sexual and Reproductive Health Branch, New York, United States;2. UNFPA, Asia and Pacific Regional Office, Bangkok, Thailand;3. UNFPA, Office of Geneva, Geneva, Switzerland;4. UNFPA, Arab States Regional Office, Cairo, Egypt;5. UNFPA, East and Southern Africa Regional Office, Johannesburg, South Africa;1. Rosemary Bryant AO Research Centre, Clinical and Health Services, University of South Australia, North Terrace, Adelaide, SA 5000, Australia;2. Clinical and Health Services, University of South Australia, North Terrace, Adelaide, SA 5000, Australia;1. The University of Queensland, School of Nursing, Midwifery and Social Work Level 3, Chamberlain Building (35), St Lucia, Qld 4072, Australia;2. University of the Sunshine Coast, Sippy Downs, Qld 4558, Australia;1. University of Technology Sydney, Australia;2. Centre for Midwifery, Child and Family Health at the University of Technology Sydney, Australia;3. Victoria University of Wellington, New Zealand;4. University of Southern Denmark;5. School of Nursing and Midwifery at Western Sydney University, Australia;1. School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia;2. Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia;1. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia;2. Research in Childbirth and Health (ReaCH) Unit, UCLan THRIVE Centre, University of Central Lancashire, Preston PR1 2HE, UK;3. Adjunct Western Sydney University, Australia;4. Amsterdam University Medical Center, VU University Amsterdam, Department of Midwifery Science, AVAG/ Amsterdam Public Health, the Netherlands |
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| Abstract: | ProblemMidwives related avoidable factors causing maternal morbidity and mortality rates continue to occur despite the existing intrapartum care-related evidence-based practice guidelines and continuing staff development initiatives.Research questionWhat are your perceptions regarding a birth unit environment that supports the implementation of best intrapartum care practices.ObjectiveTo explore and describe midwives’ perceptions about the birth environment that supports the implementation of best intrapartum care practices.MethodA qualitative design that is explorative, descriptive, and contextual in nature using a descriptive phenomenology approach.SettingA public hospital birth unit in the Gauteng Province in South Africa.Population and sampleThe population comprised of 56 permanently employed female registered midwives. A purposive sampling method was used to select 26 participants who met the selection criteria, these participants were willing to participate in the study and to sign the consent form. Data collection process involved three focus group interviews using semi-structured interviews. A qualitative data analysis method was used to analyse data. Trustworthiness was ensured and ethical considerations were adhered to.FindingsThree main themes emerged namely, interpersonal skills, improved staff development, and adequate resources.DiscussionConducive birth environment is crucial to childbirth outcomes. Midwives’ constant introspection is essential in fulfilling their obligation to render competent and ethical intrapartum care.ConclusionMidwives identified perceived birth environment barriers affecting their implementation of best intrapartum care practices. Adoption of a comprehensive approach to address the birth unit environment-related factors is suggested to support midwives in their endeavour to provide the best care to women during childbirth. |
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| Keywords: | Birth environment Best practice Implementation Intrapartum care and midwives’ perceptions |
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