Midwives’ descriptions of avoidable causes of negative perinatal outcomes

Health SA Gesondheid

 
 
Field Value
 
Title Midwives’ descriptions of avoidable causes of negative perinatal outcomes
 
Creator Tukisi, Kagiso P.
 
Subject Maternal and child Nursing; Midwifery midwives; labour; maternal mortality; medical personnel-related avoidable causes; neonatal mortality; perinatal outcomes.
Description Background: The Perinatal Problem Identification Programme (PPIP) is used to rule out the avoidable and nonavoidable causes of negative maternal and perinatal outcomes through file audits. Perinatal Problem Identification Programme serves as a tool for midwives and obstetricians to pinpoint missed opportunities that could prevent avoidable causes of negative perinatal outcomes.Aim: The study aimed to describe and explore the avoidable causes of negative perinatal outcomes in Bojanala District through the lens of the midwife.Setting: This study was conducted in the two selected facilities in the Bojanala District in the North West Province of South Africa.Methods: The study derived from a larger study that focused on midwives’ experiences of obstetric triage in the Bojanala District. A qualitative, exploratory and descriptive research design was used with purposive sample of nine midwives. Participants had over 5 years of clinical midwifery experience and were employed in the Bojanala District. Semi-structured interviews were utilised with data analysed using Colaizzi’s descriptive method of data analysis.Results: Three major themes with eight subthemes emerged. Midwives noted space constraints, medicine and medical supply constraints, and constraints in availability of medical equipment. Access to identified constraints would enable prompt and appropriate management.Conclusion: The study highlighted the experience of midwives in accessing needed space, medicines, medical supplies and equipment, potentially impacting negative perinatal outcomes.Contribution: This study provides insight into administratively related avoidable causes of negative perinatal outcomes through the lens of frontline maternity care providers – midwives. Findings should be of particular utility to health service managers working to reduce maternal mortality and morbidity.
 
Publisher AOSIS Publishing
 
Contributor
Date 2023-07-05
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/hsag.v28i0.2185
 
Source Health SA Gesondheid; Vol 28 (2023); 10 pages 2071-9736 1025-9848
 
Language eng
 
Relation
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https://hsag.co.za/index.php/hsag/article/view/2185/html https://hsag.co.za/index.php/hsag/article/view/2185/epub https://hsag.co.za/index.php/hsag/article/view/2185/xml https://hsag.co.za/index.php/hsag/article/view/2185/pdf
 
Coverage Africa; South Africa; North West; Rustenburg; Bojanala District March 2019- May 2019 27-52; Females; African; Midwives; Advanced Midwives
Rights Copyright (c) 2023 Kagiso P. Tukisi https://creativecommons.org/licenses/by/4.0
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