Undignified Maternity Care During Childbirth: An Ethnographic Study on Midwives' Perspectives in a Community Healthcare Centre in South Africa.

IF 2.2 Q1 NURSING Global Qualitative Nursing Research Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI:10.1177/23333936241273096
Thandazile Adjunia Mayisela, Esther Lydie Wanko Keutchafo, Olivia Baorapetse Baloyi
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Abstract

Undignified care of women during labor has been associated with increased preventable maternal morbidity and mortality. The purpose of this study was to explore midwives' perspectives on undignified care of women in a midwife's obstetric unit within a rural community healthcare center in South Africa. Using ethnographic methods, seven midwives were recruited to participate in individual interviews and participant observations were conducted in the unit. Three main themes describing undignified care were identified based on an inductive analysis of observations and interview data. These included a lack of respect for women's bodily autonomy during labor, structural challenges in the provision of quality maternity care, and the lack of confidential care for women in labor and delivery. The study findings show that obstetric violence remains a serious crisis in the well-being of women during childbirth. Policy development by stakeholders in maternity care, including operational healthcare practitioners, should prioritize training, monitoring, and peer support on dignified care and curbing disrespect and abuse of women during childbirth, which seemed to be deeply rooted in the routine unorthodox treatment of childbirth.

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分娩过程中不体面的产妇护理:南非社区医疗保健中心助产士视角的人种学研究》(An Ethnographic Study on Midwives' Perspectives in a Community Healthcare Centre in South Africa)。
在分娩过程中对产妇进行不体面的护理与可预防的孕产妇发病率和死亡率增加有关。本研究旨在探讨南非农村社区医疗保健中心助产士产科病房中助产士对产妇不体面护理的看法。研究采用人种学方法,招募了七名助产士参与个人访谈,并在产科进行了参与观察。根据对观察和访谈数据的归纳分析,确定了描述不体面护理的三大主题。这些主题包括缺乏对产妇在分娩过程中身体自主权的尊重、在提供优质产科护理方面存在的结构性挑战以及缺乏对产妇的保密护理。研究结果表明,产科暴力仍然是妇女分娩期间福祉的一个严重危机。产科护理的利益相关者(包括业务医护人员)在制定政策时,应优先考虑培训、监督和同伴支持,以提供有尊严的护理,并遏制对分娩期妇女的不尊重和虐待,这似乎深深植根于常规的非正统分娩治疗中。
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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
41
审稿时长
12 weeks
期刊介绍: Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.
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