African journal of midwifery and women's health最新文献

Predictors of maternal satisfaction with childbirth experience among first-time mothers in Phalombe District, Malawi 马拉维法隆贝县初为人母者对分娩体验满意度的预测因素

African journal of midwifery and women's health Pub Date : 2024-01-02 DOI: 10.12968/ajmw.2023.0002

Andrew Chilikutali, Lily Kumbani, U. Kafulafula

{"title":"Predictors of maternal satisfaction with childbirth experience among first-time mothers in Phalombe District, Malawi","authors":"Andrew Chilikutali, Lily Kumbani, U. Kafulafula","doi":"10.12968/ajmw.2023.0002","DOIUrl":"https://doi.org/10.12968/ajmw.2023.0002","url":null,"abstract":"Assessing maternal satisfaction with care improves healthcare professionals' understanding of women's needs at maternal healthcare services and can encourage future use of hospital-based intrapartum care. This study's aim was to explore predictors of maternal satisfaction with their childbirth experience at health facilities in Phalombe District, Malawi. A cross-sectional study was conducted with 254 first-time mothers, recruited using systematic random sampling. Data were collected using questionnaires and analysed using bivariate and multivariate analyses to determine predictors of maternal satisfaction. Only half (49.2%) of participants were satisfied with their childbirth experience. Welcoming and encouraging doctors/midwives (P<0.001) and being kept informed during labour (P=0.001) were the main predictors of maternal satisfaction. Maternal satisfaction is impacted by a woman's relationship with her care providers and the information imparted during care. To improve maternal satisfaction with care at the study site, there is a need for healthcare providers to improve their interpersonal relationships with labouring women and provide adequate information during care.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140515633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mothers' knowledge and practice of infection prevention at Ridge Hospital, Ghana 加纳里奇医院母亲的感染预防知识与实践

African journal of midwifery and women's health Pub Date : 2024-01-02 DOI: 10.12968/ajmw.2023.0014

K. Cletus, Lui Mavis, Nachinab Ti-Enkawol Gilbert

{"title":"Mothers' knowledge and practice of infection prevention at Ridge Hospital, Ghana","authors":"K. Cletus, Lui Mavis, Nachinab Ti-Enkawol Gilbert","doi":"10.12968/ajmw.2023.0014","DOIUrl":"https://doi.org/10.12968/ajmw.2023.0014","url":null,"abstract":"Neonatal infection is one of the most common health challenges for newborn care globally. It is also a common contributory reason for admission to neonatal intensive care units in low- and middle-income countries and one of the main causes of mortality and morbidity. This study aimed to assess mothers’ knowledge, practice and perception of factors affecting infection prevention. A descriptive cross-sectional study was conducted among 193 neonatal mothers from August to September 2021. A structured questionnaire was used to collect data on knowledge and practice of infection prevention, as well as factors the participants felt impacted infection prevention. Data were analysed using descriptive statistics. The majority of mothers had good knowledge (93.3%) and practice (92.7%) of infection prevention. The participants reported multiple factors that they felt impacted neonatal infection prevention, including the mother's education (84.5%), home birth practices (89.1%), poor economic state (85.0%), poor antenatal attendance (93.3%), negative cultural and belief systems (94.8%) and a lack of knowledge of infection prevention (90.7%). Overall, the majority of neonatal mothers had good knowledge and practice of infection prevention. The Ghana Health Service and Ministry of Health should encourage women to give birth at a health facility, to increase their knowledge of infection prevention, which will then be reflected in improved practice.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140515526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the quality of antenatal care provision by midwives: a mixed-method study of three levels of healthcare in southwestern Nigeria 评估助产士提供产前护理的质量：对尼日利亚西南部三级医疗机构的混合方法研究

African journal of midwifery and women's health Pub Date : 2024-01-02 DOI: 10.12968/ajmw.2023.0008

S. Ayamolowo, B. A. Adesoji

{"title":"Assessing the quality of antenatal care provision by midwives: a mixed-method study of three levels of healthcare in southwestern Nigeria","authors":"S. Ayamolowo, B. A. Adesoji","doi":"10.12968/ajmw.2023.0008","DOIUrl":"https://doi.org/10.12968/ajmw.2023.0008","url":null,"abstract":"Antenatal care allows healthcare providers to assess the wellbeing of pregnant women and their fetuses, leading to positive maternal and fetal outcomes. This study assessed the available facilities for antenatal care provided by midwives, and factors that influenced the quality of care provided. This study used a mixed-method descriptive design based on the Donabedian model to explore the quality of care at 27 health facilities across the three levels of healthcare in Osun State. Qualitative data were collected from 11 purposively selected midwives using an in-depth interview guide, and a hospital checklist was used to collect quantitative data. Data were gathered over 12 weeks, then transcribed and analysed using content and thematic analysis. Some facilities (9.1%) did not offer all components of antenatal care. When examining the process and structure of care, 98.6% of healthcare facilities were found to have inadequate human resources. Although the equipment at the facilities was functional, it was reportedly inadequate in 27 (84.3%) facilities. Midwives reported that a lack of education, poor working conditions, interprofessional barriers and burnout hindered the provision of quality antenatal care, while community support and regular continuing education were motivating factors. The quality of antenatal care was rated adequate, but there was a lack of resources, standard guidelines and retraining opportunities for midwives. Adequate manpower and resources are needed to enhance the quality of antenatal care in health facilities in Osun State.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"29 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140515483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of compliance with routine antenatal medications among pregnant women in Lagos, Nigeria 尼日利亚拉各斯孕妇遵守产前常规用药的决定因素

African journal of midwifery and women's health Pub Date : 2024-01-02 DOI: 10.12968/ajmw.2022.0017

T. Oshinyemi, O. Oluwatosin, O. Edet, J. Aluko, Moridiyat O A Adeyemo

引用次数: 0

Counselling on newborn danger signs for women in Bahirdar City, northwest Ethiopia: a community-based cross-sectional study 埃塞俄比亚西北部 Bahirdar 市妇女新生儿危险征兆咨询：一项基于社区的横断面研究

African journal of midwifery and women's health Pub Date : 2023-10-02 DOI: 10.12968/ajmw.2023.0003

Kalkidan Worku, Menichil Amsalu

{"title":"Counselling on newborn danger signs for women in Bahirdar City, northwest Ethiopia: a community-based cross-sectional study","authors":"Kalkidan Worku, Menichil Amsalu","doi":"10.12968/ajmw.2023.0003","DOIUrl":"https://doi.org/10.12968/ajmw.2023.0003","url":null,"abstract":"The prevalences of good knowledge and health-seeking practice for newborn danger signs are generally low in Asia and sub-Saharan African countries. There is limited information available about the effect of maternal and child health service use on this issue among mothers in Bahirdar. This study's aim was to assess the effect of service use on knowledge and health-seeking practice related to newborn danger signs among women with infants in Bahirdar. This community-based cross-sectional study involved 392 women with infants aged less than 6 months, who used maternal and child health services in Bahirdar between 10 September and 10 October 2020. Bivariable and multivariable regression were used to identify service use factors associated with health-seeking behaviour and knowledge related to newborn danger signs. Most of the participants recognised that frequent vomiting (81.1%), high fever (73.0%) and convulsion (69.9%) were neonatal danger signs. Postnatal care counselling was strongly associated with health-seeking practice (adjusted odds ratio=1.9, P<0.001). Antenatal care counselling was strongly associated with knowledge of newborn danger signs (adjusted odds ratio=1.57, P<0.001). The prevalence of maternal knowledge of newborn danger signs was lower compared to the literature. Similarly, the prevalence of health-seeking practice among mothers with an infant with a newborn danger sign was low. Interventions to improve the quality of antenatal and postnatal counselling are recommended.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139324817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

African journal of midwifery and women's health Pub Date : 2023-10-02 DOI: 10.12968/ajmw.2023.0001

Smith Chipapa, Josephine Changole, Matthews Lazaro, U. Kafulafula

{"title":"Hospital-related factors associated with incontinence following vesicovaginal fistula repair at Bwaila fistula care centre","authors":"Smith Chipapa, Josephine Changole, Matthews Lazaro, U. Kafulafula","doi":"10.12968/ajmw.2023.0001","DOIUrl":"https://doi.org/10.12968/ajmw.2023.0001","url":null,"abstract":"Surgery remains the only reliable treatment option for vesicovaginal fistula; however, not all women who undergo surgical treatment regain continence. Information on predictors of vesicovaginal fistula closure outcomes is scarce and mostly limited to patient-related factors. This study examined hospital-related factors associated with incontinence in women following vesicovaginal fistula repair at the Bwaila fistula care centre in Malawi. This quantitative retrospective cross-sectional study used simple random sampling to identify 174 case files of women who underwent vesicovaginal fistula repair. Data were analysed using binary and multivariable logistic regression to explore the effects of hospital-related variables on the likelihood of women remaining incontinent after obstetric fistula repair. The overall closure rate was 73.6%. Only number of days with a Foley catheter was found to predict incontinence after fistula repair at discharge from the hospital (P=0.013), in multivariate analysis. Number of days with a catheter was the only significant predictor of incontinence after repair. Surgeons should consider reducing the number of days assigned with a catheter following surgery. Future studies should follow a prospective approach in settings where all variables can be effectively explored.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139324156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Student nurse-midwives' knowledge and practice conducting normal labour in Windhoek, Namibia 纳米比亚温得和克助产士学生对正常分娩的认识和实践

African journal of midwifery and women's health Pub Date : 2023-10-02 DOI: 10.12968/ajmw.2022.0029

Imanuel Mateus, Olivia Emvula, H. Nashandi

{"title":"Student nurse-midwives' knowledge and practice conducting normal labour in Windhoek, Namibia","authors":"Imanuel Mateus, Olivia Emvula, H. Nashandi","doi":"10.12968/ajmw.2022.0029","DOIUrl":"https://doi.org/10.12968/ajmw.2022.0029","url":null,"abstract":"It is crucial that maternity health workers understand how to prevent complications during labour. A lack of knowledge and the skills required to manage uncomplicated physiological labour (‘normal’ labour) may result in unanticipated complications, such as vaginal lacerations and perineal tears. This study's aim was to assess the knowledge and practices of undergraduate nurse-midwife students at the University of Namibia in conducting normal labour. This quantitative study used a descriptive, non-experimental design to gather data from a total of 64 student nurse-midwives. A questionnaire was used to gather participants' sociodemographics and assess their knowledge and practice of normal labour. Descriptive statistics were used to analyse the data. The majority of the participants (87.3%) knew the correct supporting technique to prevent perineal tears. Most (84.1%) correctly indicated that a partograph is used to monitor labour progress. However, the majority (87.3%) did not practice episiotomy to prevent perineal tears. Most students were knowledgeable on the use of a partograph, practices to prevent perineal tears and care of a newborn after birth. Students should receive continual education during clinical allocations, and be supervised and guided to improve practice and competency. Provision of sufficient preceptors is needed to cater for the high number of students. Future research should be conducted on the experiences and perspectives of students on conducting births and prevention of labour complications.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139324247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strategies to facilitate upscaling midwifery practice in South African public maternity units 促进提升南非公立产科医院助产实践的策略

African journal of midwifery and women's health Pub Date : 2023-10-02 DOI: 10.12968/ajmw.2022.0037

Sindiwe James, Margreet Wibbelink, Ann Thomson

{"title":"Strategies to facilitate upscaling midwifery practice in South African public maternity units","authors":"Sindiwe James, Margreet Wibbelink, Ann Thomson","doi":"10.12968/ajmw.2022.0037","DOIUrl":"https://doi.org/10.12968/ajmw.2022.0037","url":null,"abstract":"Various models have been proposed to reduce rates of maternal mortality, aimed at addressing the diverse range of causes. Many of these models focus on using midwifery practice to achieve these goals. The aim of this study was to develop strategies to facilitate upscaling midwifery practice in South African public maternity units. A mixed-methods sequential exploratory research design was implemented using purposive sampling of midwives and postpartum women. Qualitative data were collected from 11 midwives and 11 postnatal women in the Eastern Cape province, while quantitative data were gathered from 314 midwives from across five South African provinces. Data were collected using semi-structured interviews and a self-developed questionnaire. Descriptive statistics were used to analyse quantitative data. Qualitative data were analysed thematically. The participants were committed to their work but barriers to practice were a cause of concern. Two strategies for woman-centered care were developed based on the challenges reported by midwives. To assist with up-scaling of midwifery clinical practice in South Africa, the strategies recommended providing an enabling work environment where midwives could be empowered to provide woman-centred care and women were empowered to receive this care and be educated in self-care practices. The work environment for midwives in South African public maternity units is, at times, not of an acceptable standard because of concerns related to regulation and training. Recognition of midwifery practice as an autonomous profession will facilitate woman-centred practice.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"146 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139324332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurse-midwives' knowledge of and attitude to obstetric triage in Kiambu referral hospitals: a cross-sectional study in Kenya 肯尼亚基安布转诊医院助产士对产科分诊的认识和态度：一项横断面研究

African journal of midwifery and women's health Pub Date : 2023-10-02 DOI: 10.12968/ajmw.2023.0012

Carolyne K. Nyariki, G. Mbuthia, Eric Yegon, Cyprian Michieka Magangi

{"title":"Nurse-midwives' knowledge of and attitude to obstetric triage in Kiambu referral hospitals: a cross-sectional study in Kenya","authors":"Carolyne K. Nyariki, G. Mbuthia, Eric Yegon, Cyprian Michieka Magangi","doi":"10.12968/ajmw.2023.0012","DOIUrl":"https://doi.org/10.12968/ajmw.2023.0012","url":null,"abstract":"Obstetric triage is a brief assessment performed when a woman presents to hospital to prioritise her care. The aim of this study was to determine nurse-midwives' knowledge of and attitude to obstetric triage in two county referral hospitals in Kiambu, Kenya. A descriptive cross-sectional study was conducted among 40 nurse-midwives using a structured questionnaire. Mean scores were calculated for knowledge of goals, models and activities in obstetric triage, as well as the participants' attitudes to triage, with scores of at least 80% indicating that the participant was knowledgeable and had a positive attitude. The majority (85%) of participants were female, with a diploma (97.5%) and had an average of 7.5 years' experience. Only 20.0% were deemed knowledgeable about the goals of obstetric triage, and 42.5% lacked knowledge of any triage model. The mean score for knowledge of activities during obstetric triage was 93.0%, indicating that midwives were knowledgeable in this area, and the mean attitude score was 77%, falling short of the cut off to show a positive attitude. Nurse-midwives showed knowledge gaps related to the goals and models for obstetric triage, but were highly knowledgeable on activities conducted during triage. On average, the participants were found to have a negative attitude to obstetric triage. It is recommended that nurse-midwives are trained on obstetric triage, to improve their knowledge and attitude.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139324326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of workplace adversity among midwives in labour wards of tertiary hospitals in northern Nigeria 尼日利亚北部三级医院产房助产士工作场所逆境的经历

African journal of midwifery and women's health Pub Date : 2023-07-02 DOI: 10.12968/ajmw.2022.0028

Halima Abdul Musa, Billie Hunter, Lucie Warren, Dikaios Sakellariou

{"title":"Experiences of workplace adversity among midwives in labour wards of tertiary hospitals in northern Nigeria","authors":"Halima Abdul Musa, Billie Hunter, Lucie Warren, Dikaios Sakellariou","doi":"10.12968/ajmw.2022.0028","DOIUrl":"https://doi.org/10.12968/ajmw.2022.0028","url":null,"abstract":"Background/Aims Midwifery has been described as an emotionally charged profession. It can be even more demanding as a result of the staff shortages and lack of resources often encountered in low- and middle-income countries. In Nigeria, there are high maternal and infant mortality rates, shortages in the midwifery workforce and a high prevalence of stress among midwives. The aim of this study was to explore midwives' experiences of workplace adversity and resilience in tertiary hospitals in northern Nigeria. Methods This study used a constructivist grounded theory approach. Data were collected via in-depth face-to-face interviews and field notes. A total of 34 interviews were conducted in two phases, with purposive and theoretical samples of midwives across two tertiary institutions in northern Nigeria. The iterative process of grounded theory methodology was used for data analysis. Results Significant adversity was caused by a severe lack of human and material resources, leading to an excessive workload. The nature of the work was characterised by high numbers of obstetric emergencies and attending to traumatic births. Conclusions Midwives working in tertiary hospitals in northern Nigeria experience workplace adversity fuelled by high caseloads, workforce shortages, a lack of basic equipment and consumables, an unsupportive working atmosphere and attending traumatic births. More investment in Nigerian maternity services is needed to improve quality of care provision, reduce adversity in the midwifery workforce and enhance staff retention.","PeriodicalId":89315,"journal":{"name":"African journal of midwifery and women's health","volume":"527 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135800570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0