Caesarean section deliveries: Experiences of mothers of midwifery care at a public hospital in Nelson Mandela Bay

Jikijela, Thobeka P; James, Sindiwe; Sonti, Balandeli Siphumelele Israel

doi:10.4102/curationis.v41i1.1804

Cited by 15 publications

(27 citation statements)

References 23 publications

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“…This situation may not just be peculiar to UTH or Zambia alone as many studies have found similar results. The findings of the current study are similar to those obtained by [28], where post c-section women expressed concerns that the care and assistance they received were not satisfactory as they described it to be uncaring, neglectful and disappointing because they were not assisted to perform certain activities while they were still in pain and sick. However, another study [29] revealed that mothers were satisfied with all the post operative care they received except in the information area.…”

Section: Discussionsupporting

confidence: 79%

Understanding Midwives’ Perspective on Care of Post Cesarean Section Women at the University Teaching Hospital—Women and Newborn, Lusaka

Mukonka¹,

Katowa-Mukwato²,

Kwaleyela³

et al. 2018

OJN

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Background: A cesarean section is a major obstetric surgical procedure performed for the purpose of delivering a live baby when vaginal delivery would put the mother and the baby at risk due to complications of pregnancy, labour and delivery. Although caesarean section is a life saving procedure, it is associated with a number of risks or problems in the postoperative period. The aim of the study was to understand the Midwives' perspective on the care of postpartum mothers who had cesarean section at the University Teaching Hospital-Women and Newborn in Lusaka District. Methods: A descriptive cross sectional survey was conducted at the University Teaching Hospital-Women and Newborn in Lusaka. 51 Midwives working in postnatal wards were consecutively selected to participate in the study. Data was collected using a self administered questionnaire with a 4 point Likert scale and also some closed and open ended questions. SPSS version 20 statistical package was used to analyse data, expressed as descriptive summary measures. Results: All the 51 Midwives were female and they scored themselves highly on a 4 point Likert scale as always performing all the immediate post-operative care on the postpartum mothers who had a caesarean section while the score was much lower during the subsequent post-operative period. Staffing levels and medical-surgical materials were found to be low and affect care of Postpartum mothers (P-0.050). The majority (94.2%) of the Midwives also indicated that C-section mothers were not given any form of written materials or standardized instructions to take home as reference material during the

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Section: Discussionsupporting

confidence: 79%

Understanding Midwives’ Perspective on Care of Post Cesarean Section Women at the University Teaching Hospital—Women and Newborn, Lusaka

Mukonka¹,

Katowa-Mukwato²,

Kwaleyela³

et al. 2018

OJN

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“…To the best of our knowledge, not many studies reported the impact of the delivery type on the proportion of post-natal checks of newborns. In our study, we would like to explore the effect of the delivery type because the rate of C-section deliveries was more likely to increase worldwide [24]. Literature data on C-section relation with post-natal health services are not only limited for the newborns, but the mothers as well.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam

Lam

Anh²,

Ha³

et al. 2019

Int J Equity Health

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Background The newborn and child death associated with inadequate post-natal health checks continued to be a significant issue across the world. This study aimed to assess the socioeconomic inequalities in post-natal health checks for the newborn in Vietnam in 2014. Methods We used the secondary data from the Multiple Indicator Cluster Survey in 2014. We included women aged 15–49 years who had a live birth within two years of the time of the interview. We estimated the concentration index to measure socioeconomic inequalities post-natal health checks for the newborn. We conducted multiple logistic regression analysis to identify factors associated with post-natal health checks for the newborn. Results Overall, the proportion of post-natal health checks for the newborn in Vietnam was 89.1%. The concentration index of post-natal health checks for the newborn was positive at 0.06. It indicated that the newborns in the rich households were more likely to get post-natal health checks as compared to in the poor households. The common factors significantly associated with the higher percentage of post-natal health checks for the newborn were women belonging to the Kinh and Hoa ethnic, higher education, and wealthier groups. Conclusion Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam were not strong, but it still existed. Thus, we recommended that policy efforts to increase access to post-natal health services for poor women. In addition, there is a need to improve access to post-natal health services for women belonging to minor ethnic group and low education.

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“…These experiences may influence their desire and attitude towards future pregnancy and delivery. Childbirth comes with excitement, however, for some women, this excitement is dampened as a result of physical pain, especially for those women who have had a caesarean delivery [9]. In recent times, there has been a great upsurge in the rate of caesarean delivery among women in developed and developing countries [9, 10].…”

Section: Introductionmentioning

confidence: 99%

“…Childbirth comes with excitement, however, for some women, this excitement is dampened as a result of physical pain, especially for those women who have had a caesarean delivery [9]. In recent times, there has been a great upsurge in the rate of caesarean delivery among women in developed and developing countries [9, 10]. A World Health Organisation (WHO) report revealed that, between 1990 and 2014 the global average of caesarean section rate increased from 12.4–18.6% [11].…”

Section: Introductionmentioning

confidence: 99%

“…According to the Ghana Demographic Health Survey 2014, CS deliveries increased to 13% [21]. Despite the upsurge of CS rates and medical advances, most women still hold the view of the importance of actively participating through the labour process to achieve a vaginal birth [9, 10]. Women in developing countries often prepare psychologically and physically for spontaneous vaginal delivery.…”

Section: Introductionmentioning

confidence: 99%

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Women’s experiences of midwifery care immediately before and after caesarean section deliveries at a public Hospital in the Western Region of Ghana

Afaya

Dzomeku

Baku

et al. 2020

BMC Pregnancy Childbirth

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BackgroundChildbirth remains a uniquely multifaceted, mental-cognitive and a major life experience to women. It is composed of a variety of psycho social and emotional aspects and creates memories, sometimes bad experiences and unmet expectations which leaves the mother with lasting scars. Therefore, this study aimed at exploring post-caesarean section delivered mothers experiences of midwifery care in a public hospital in Ghana.MethodsThis descriptive exploratory qualitative research used an interpretative approach to explore mothers’ experiences of midwifery care immediately before and after caesarean section (CS). The study employed a purposive sampling technique in recruiting 22 participants who had knowledge of the phenomenon under study. Data collection was guided by an interview guide, which involved face to face individual interviews and focus group discussion at the postnatal ward and clinic. All interviews were audio-recorded and lasted 30–40 min. Audio recordings were transcribed verbatim and inductive thematic data analysis employed.ResultsFour major themes emerged from the analysis of participants’ transcripts: Support by Midwives (physical and psychological, and attitude towards patients’ pain management); Protection of mothers (provision of privacy, confidentiality and physical environment); Provision of information/communication (before caesarean section, and before a minor task) and midwives’ attitude (attitude towards delivery care).ConclusionMothers delivered by caesarean section had varied experiences of midwifery care which were both positive and negative ones. Provision of psychological support and adequate pain management were positive experiences. The challenges experienced were related to provision of information, privacy, and physical support. Participants, who underwent emergency CS in particular, were dissatisfied with the provision of information concerning the surgical procedure. Provision of privacy and physical support were also issues of great concern. We therefore, recommend supportive and sensitive midwifery care particularly for mothers undergoing emergency CS. Documenting women’s diverse experiences of midwifery care before and after CS delivery is important to healthcare providers, hospital managers and policy makers as the feedback garnered can be used to improve maternity services and inform decisions on midwifery care.

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Caesarean section deliveries: Experiences of mothers of midwifery care at a public hospital in Nelson Mandela Bay

Cited by 15 publications

References 23 publications

Understanding Midwives’ Perspective on Care of Post Cesarean Section Women at the University Teaching Hospital—Women and Newborn, Lusaka

Understanding Midwives’ Perspective on Care of Post Cesarean Section Women at the University Teaching Hospital—Women and Newborn, Lusaka

Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam

Women’s experiences of midwifery care immediately before and after caesarean section deliveries at a public Hospital in the Western Region of Ghana

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