Teenage pregnancy refers to pregnancy of a woman of less than 19 years. It is found commonly amongst young people who have been disadvantaged and have poor expectations with regard to either their education or job market. Adolescents may lack knowledge of access to conventional methods of preventing pregnancy, as they may be afraid to seek such information. The study purpose was to identify factors contributing to teenage pregnancy in one village in the Capricorn District of the Limpopo Province.

A quantitative descriptive research approach was chosen. Population consisted of all pregnant teenagers attending antenatal care during June to August 2007 at one clinic in the Capricorn District of the Limpopo Province. Simple random probability sampling was used to include 100 pregnant teenagers who satisfied the inclusion criteria. Data were collected through structured self-administered questionnaires. Descriptive statistical data analysis was used. Ethical considerations were ensured.

Findings were classified as demographic data where 24% of the respondents were aged between 15–16 years and 76% were aged between 17–19 years. Findings further revealed that 60% of the respondents started to engage in sex at 13–15 years; 48% of the teenagers’ partners were 21 years and above, 44% depended on a single parents’ income; 20% father’s income, 16% received a social grant and 8% lived on the pension fund of the grandparents.

Pregnancy prevention strategies were recommended based on the results. The strategies focused on reproductive health services, male involvement and adult-teenager communication programmes.

BackgroundRecording of information on multiple documents increases professional nurses’ responsibilities and workload during working hours. There are multiple registers and books at Primary Health Care (PHC) facilities in which a patient’s information is to be recorded for different services during a visit to a health professional. Antenatal patients coming for the first visit must be recorded in the following documents: tick register; Prevention of Mother-To-Child Transmission (PMTCT) register; consent form for HIV and AIDS testing; HIV Counselling and Testing (HCT) register (if tested positive for HIV and AIDS then this must be recorded in the Antiretroviral Therapy (ART) wellness register); ART file with an accompanying single file, completion of which is time-consuming; tuberculosis (TB) suspects register; blood specimen register; maternity case record book and Basic Antenatal Care (BANC) checklist. Nurses forget to record information in some documents which leads to the omission of important data. Omitting information might lead to mismanagement of patients. Some of the documents have incomplete and inaccurate information. As PHC facilities in Vhembe District render twenty four hour services through a call system, the same nurses are expected to resume duty at 07:00 the following morning. They are expected to work effectively and when tired a nurse may record illegible information which may cause problems when the document is retrieved by the next person for continuity of care.ObjectivesThe objective of this study was to investigate and describe the effects of increased nurses’ workload on quality documentation of patient information at PHC facilities in Vhembe District, Limpopo Province.MethodsThe study was conducted in Vhembe District, Limpopo Province, where the effects of increased nurses’ workload on quality documentation of information is currently experienced. The research design was explorative, descriptive and contextual in nature. The population consisted of all nurses who work at PHC facilities in Vhembe District. Purposive sampling was used to select nurses and three professional nurses were sampled from each PHC facility. An in-depth face-to-face interview was used to collect data using an interview guide.ResultsPHC facilities encountered several effects due to increased nurses’ workload where incomplete patient information is documented. Unavailability of patient information was observed, whilst some documented information was found to be illegible, inaccurate and incomplete.ConclusionDocumentation of information at PHC facilities is an evidence of effective communication amongst professional nurses. There should always be active follow-up and mentoring of the nurses’ documentation to ensure that information is accurately and fully documented in their respective facilities. Nurses find it difficult to cope with the increased workload associated with documenting patient information on the multiple records that are utilized at PHC facilities, leading to incomplete information. The number of nurse...

BackgroundPhysical presence during labour offer women opportunity of having positive childbirth experiences as well as childbirth outcomes. The study aimed to determine what support provided by midwives during intrapartum care at a public hospital in Limpopo Province. The study was conducted at a tertiary hospital in Limpopo Province.MethodsA participant observation approach was used to achieve the objectives of the study. The population comprised of all women who were admitted with labour and for delivery and midwives who were providing midwifery care in the obstetric unit of a tertiary public hospital in Limpopo Province. Non-probability, purposive and convenience sampling were used to sample 24 women and 12 midwives. Data were collected through participant observations which included unstructured conversations with the use of observational guide, field notes of all events and conversations that occurred when women interact with midwives were recorded verbatim and a Visual Analog Scale to complement the observations. Data were analysed qualitatively but were presented in the tables and bar graphs.ResultsFive themes emerged as support provided by midwives during labour, namely; communication between women and midwives, informational support, emotional support activities, interpretation of the experienced labour pain and supportive care activities during labour.ConclusionThe communication between woman and midwife was occurring as part of midwifery care and very limited for empowering. The information sharing focused on the assistive actions rather than on the activities that would promote mothers’ participation. The emotional support activities indicated lack of respect and disregard cultural preferences and this contributed to inability to exercise choices in decision-making. The study recommended the implementation of Batho Pele principles in order to provide woman-centred care during labour.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-1860-8) contains supplementary material, which is available to authorized users.

Aim:Screening for early detection and treatment of cervical cancer is a cornerstone of prevention. The purpose of this study was to assess the awareness in women about the utilization of cervical cancer screening services in Vhembe District, South Africa.Methods:This cross-sectional study involved a random selection of 500 women aged 20-59 years in Vhembe District, Limpopo Province, South Africa. Data was collectedviaa self-structured questionnaire on the demographic variables, provision, utilization and awareness of cervical cancer screening services.Results:The majority of the participants agreed to have cervical cancer screening services in their clinics (79.2%), and never had a Pap smear (58.6%). Most women would not go for cervical cancer screening, mainly because of a lack of facilities (30.0%), fear of pain (24.4%), and embarrassment (15.2%). Most participants indicated that Pap smear test meant scraping the cervix to detect abnormal cancerous cells (39.2%) and 34.2% did not know a Pap smear. Majority of the participants indicated Pap smears should be done every 10 years (65.8%); Pap smears could detect cervical cancer earlier (66.8%), and had heard about cervical cancer (71.6%). The majority of the participants considered cervical cancer as a serious problem to warrant considerable attention (59.4%); and some perceived cervical cancer as transmittable through multiple sexual partners (22.2%). The majority of the participants were aware of a vaccine against cervical cancer for girls at school (69.0%), and it was indicated that government should use health education to encourage women to attend cervical screening services (51.6%).Conclusion:Despite the free availability of cervical cancer screening services and awareness, the utilization of cervical cancer screening services is low. There is a need to intensify cervical screening health talks and campaigns, and to provide alternative accessible options for screening services for women in rural areas.

A model for woman-centred childbirth was developed through four phases in accordance with the objectives of the study, namely, a description of mothers&rsquo; experiences of childbirth and that of attending midwives of managing mothers during childbirth concept analysis of woman-centred care, model development, and an evaluation phase. The identified concepts and sub-concepts were classified and developed into in a conceptual model within the six elements of the practice theory, as outlined by Dickoff, James and Wiedenbach&rsquo;s (1968:423) survey list cited by Madela-Mntla (1999:69) in Tlakula (1999:119). These elements are recipient, agent, context, procedure, purpose and dynamic. The relational statements derived after conceptualisation of each of the six concepts were inferred through the process of deductive analysis and synthesis. The development of the woman-centred childbirth model contained six components, namely, goals, concepts, definitions, relationships, structures and assumptions, as outlined in Chinn and Jacobs (1987:116). The model was evaluated in accordance with Chinn and Kramer&rsquo;s (1995:134&ndash;135) method and refined by experts in midwifery practice and model generation. Limitations were recognised and recommendations made.<p><strong>Opsomming</strong></p><p>Die model vir vrouegesentreerde sorg is ontwikkel deur vier fases in ooreenstemming met die doelwitte van die studie, naamlik, beskrywing van die moeders se ondervinding van kindergeboorte en di&eacute; van die diensdoende vroedvroue wat die moeders tydens kindergeboorte bestuur het, ontleding van die begrip &lsquo;vrouegesentreerde sorg&rsquo;, modelontwikkeling en die evalueringsfase. Die ge&iuml;dentifiseerde konsepte en subkonsepte is geklassifiseer en gekonseptualiseer in &rsquo;n konseptuele model binne die ses elemente van die praktykteorie soos omlyn deur Dickoff, James en Wiedenbach (1968:423) in hulle oorsiglyne wat in Madela-Mntla (1999:69) aangehaal word in Tlakula (1999:119). Hierdie elemente is ontvanger, agent, konteks, prosedure, doel en dinamika. Die relasionele verklarings afgelei na die konseptualisering van elkeen van die ses konsepte, is afgelei deur die proses van deduktiewe ontleding en sintese. Die ontwikkeling van die &lsquo;vrouegesentreerdesorg kindergeboortemodel&rsquo; het ses komponente bevat, naamlik, doelwitte, konsepte, definisies, verwantskappe, strukture en assumpsies soos omlyn in Chinn en Jacobs (1987:116). Die model is ge&euml;valueer volgens Chinn en Kramer (1995:134&ndash;135) se metode en verfyn deur deskundiges in verloskundige praktyk en die generering van modelle. Beperkings is erken en aanbevelings is gemaak.</p><p><strong>How to cite this article:</strong> Maputle, M.S., 2010, &lsquo;A woman-centred childbirth model&rsquo;, <em>Health SA Gesondheid</em> 15(1), Art. #450, 8 pages. DOI: 10.4102/hsag.v15i1.450</p>