Experiences of Women with the Labour and Delivery Care Received at Mzimba District Hospital, Malawi

Year : 2024 | Volume :02 | Issue : 01 | Page : 37-46
By

Julia Tanangachi Nyirongo

Angella Chimwaza

  1. Midwife Specialist Zomba Central Hospital Zomba Malawi
  2. Acting Director Mahatma Gandi Campus Blantyre Malawi

Abstract

Aim: The aim of the study was to explore the perceptions of women on the care that they received during normal labour and delivery at Mzimba District Hospital, Malawi. Specific Objectives: To evaluate the aspects of physical care that was rendered to women during labour and delivery, evaluate the psychological care that was rendered to women throughout labour and delivery, assess the perception of women on the attitudes of midwives during the provision of labour and delivery care and review participants’ files for documentation of labour and delivery care. Methods: The study was of explorative and descriptive design that utilized qualitative methods. The study was conducted at Mzimba District Hospital in the postnatal ward in Malawi. The sample was drawn from women who had spontaneous vertex deliveries with no complications for both the mother and baby. A purposive sampling was used to select the 15 participants for the study and included women who laboured from 4 to 5 cm and delivered without complications at the institution. Data Analysis: Descriptive statistics were computed for demographic data and qualitative data were analysed manually using thematic content analysis. Results: Results revealed that women who participated in the study received inadequate intrapartum care and the major results from the study were inadequate history taking, inadequate physical assessment, inadequate giving of information, lack of pain relief measures, lack of food and fluid intake and output, lack of use of various positions, lack of mobility during labour and delivery, lack of birth companion, poorly managed anxiety, dissatisfaction with midwives’ attitudes, and inadequate documentation of labour and delivery care.

Keywords: Labour and delivery, intrapartum care, spontaneous vertex delivery, labouring women and perception

[This article belongs to International Journal of Women’s Health Nursing And Practices(ijwhnp)]

How to cite this article: Julia Tanangachi Nyirongo, Angella Chimwaza. Experiences of Women with the Labour and Delivery Care Received at Mzimba District Hospital, Malawi. International Journal of Women’s Health Nursing And Practices. 2024; 02(01):37-46.
How to cite this URL: Julia Tanangachi Nyirongo, Angella Chimwaza. Experiences of Women with the Labour and Delivery Care Received at Mzimba District Hospital, Malawi. International Journal of Women’s Health Nursing And Practices. 2024; 02(01):37-46. Available from: https://journals.stmjournals.com/ijwhnp/article=2024/view=148046





References

  1. Halldorsdottir S, Karlsdottir S Journeying through labour and delivery: perceptions of women who have given birth. Midwifery. 1996; 12: 48–61.
  2. Cheung W, Ip WY, Chan Maternal anxiety and feelings of control during labour, a study of Chinese first-time pregnant women. Midwifery. 2007; 23 (2): 123–130. Doi: 10.1016/j.midw.2006.05.001.
  3. Larkin P, Begley CM, Devane Women’s experiences of labour and birth: an evolutionary concept analysis. Midwifery. 2009; 25: e49–e59.
  4. Moore M, Armbruster D, Graeff J, Copeland Assessing the “caring” behaviours of skilled maternity care providers during labour and delivery: experience from Kenya and Bangladesh. The Change Project for Educational Development. Washington, DC, USA: The Manoff Group; 2002.
  5. Kamwendo LA, Bullough Insights on skilled attendance at birth in Malawi – the findings of a structured document and literature review. Malawi Med J: 2005; 16 (2): 40–42.
  6. National Statistical Office. Malawi Demographic and Health Survey 2010. Zomba, Malawi: National Statistical Office; 2011.
  7. Fauveau V, Sherratt DR, de Bernis Human resources for maternal health: multi-purpose or specialists? Human Resour Health. 2008; 6: Article 21. doi: 10.1186/1478-4491-6-21.
  8. Rice PL, Naksook C. The experience of pregnancy, labour and birth in Thai women in Australia. Midwifery.1998; 14: 74–84.
  9. Grossmann-Kendall F, Filippi V, De Koninck M, Kanhonou L. Giving birth in maternity hospitals in Benin:testimonies of women. ReprodHealth Matters.2001; 9(18): 90–98.
  10. Kuo SC, Wu CJ, Mu P Taiwanese women’s experiences in interaction with their midwives during their antenatal checks and during labour. Midwifery. 2010; 26: 450–456.
  11. Polit DF, Beck C Essentials of Nursing Research, Methods, Appraisal and Utilization. 6th edition.Philadelphia, PA, USA: Lippincott Williams & Wilkins.
  12. Braun V, Clarke Using thematic analysis in Psychology. Qual Res Psychol. 2006; 3: 77–101.
  13. Kululanga LI, Malata A, Chirwa E, Sundby Malawian fathers’ views and experiences of attending the birth of their children: a qualitative study. BMC Pregnancy Childbirth. 2012; 12: 141.
  14. Ministry of Health. Integrated Maternal & Neonatal Care Training Manual. Lilongwe, Malawi: Ministry of Health; 2009.
  15. Nikiema B, Beninguisse G, Haggerty J Providing information on pregnancy complications during antenatal visits: unmet educational needs in Subsaharan Africa. Health Policy Plan. 2009; 24 (5): 367–376.
  16. Kungwimba E, Malata A, Maluwa A, Chirwa Experiences of women with support they received from their birth companions during labour and delivery in Malawi. Health. 2013; 5 (1): 45–52. Doi: 10.4236/health.2013.51007.
  17. Nwasor EO, Adaji SE, Bature SB, Shittu O Pain relief in labour, a survey of awareness, attitude and practice of health care providers in Zaria, Nigeria. J Pain Res. 2011; 4: 227–232.
  18. Hiltunen P, Raudaskoski T, Ebeling H, Moilanen Does pain relief during delivery decrease the risk of postnatal depression? Acta Obstet Gynaecol Scand. 2004; 83: 257–261.
  19. Parsons Policy or tradition: oral intake in labour. Aust J Midwifery. 2001; 14 (3): 6–12.
  20. Maharaj Eating and drinking in labour: should it be allowed? Eur J Obstetr Gynaecol Reprod Biol. 2009; 146: 3–7.
  21. Fraser DM, Cooper MA. Myles Textbook for Midwives. 15th edition. Edinburgh, UK: Elsevier; 2009.
  22. Lawrence A, Lewis L, Hofmeyer GJ, Dowswell T, Styles Maternal positions and mobility during first stage labour. Cochrane Database Syst Rev. 2009; (2): CD003934.
  23. Selman T, Johnston Mechanisms and management of normal labour. Obstetr GynaecolReprod Med. 2010; 20 (7): 201–206.
  24. Neap N, Dodwel M, Newburn M. Working with pain in labour: an overview of evidence. New Digest. 2010; 49: 22–26.
  25. Pascali-Bonaro D, Kroeger Continuous female companionship during childbirth: a crucial resource in time of stress or calm. Midwifery Women’s Health. 2004; 49 (1): 19–27.

Regular Issue Subscription Original Research
Volume 02
Issue 01
Received January 5, 2024
Accepted March 27, 2024
Published March 30, 2024