Consequences of delivery at home in a woman without prenatal care

Kumar, Nakul; Gilbert, Lisa A.; Ellis, Terry A.; Krishnan, Sandeep

doi:10.1136/bcr-2016-217572

Cited by 4 publications

(6 citation statements)

References 15 publications

(7 reference statements)

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“…On advocating for a more just practice of medicine, Kumar et al describe the case of a woman attempting a vaginal birth after Caesarean section (VBAC) ( 84 ). Despite having had three previous Caesarean sections under the care of an obstetrician, the patient, “denied having gestational diabetes testing, blood work or detailed ultrasonography, but stated that she had undergone regular Doppler and bedside ultrasound scans performed by her midwife.” The patient chose a direct-entry midwife to provide her care, defined as independent practitioners educated in midwifery through self-study, apprenticeship, a midwifery school or a university-based program.…”

Section: Changing Behavior Through Global Health Case Reportsmentioning

confidence: 99%

Global Health Education and Advocacy: Using BMJ Case Reports to Tackle the Social Determinants of Health

Douthit¹,

Biswas²

2018

Front. Public Health

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Since 2013, BMJ Case Reports () has published over 70 global health case reports from five continents, written by doctors, nurses, students, and allied health professionals. These cases, a burgeoning repository of evidence of how real patients are affected by disease, trauma, violence, sexual assault, conflict, migration, adverse living and working conditions, and poor access to health care, discuss, in addition to clinicopathological findings, the global health problems affecting each patient. The global health problem analysis examines the problems of individual patients, critically appraises the literature, and describes actual and potential solutions for the patient, the local community, and patients affected by similar issues across the world. At present global health literature and learning materials lack a patient focus and real-life context in the analysis of global health problems. BMJ Case Reports global health case reports are a unique and important tool to learn about and advocate for change in the social, political, cultural, and financial determinants of health as they affect real patients. This growing evidence base brings together clinicians, local service providers, policy makers, and government and non-governmental institutions to effect real change in patients’ lives toward improving health. Each global health case report is an excellent resource for learning, and together, these case reports provide essential reading for anyone embarking on a career in global health, and writing their own case report. The online course () at BMJ Case Reports uses these cases and is free to access.

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Section: Changing Behavior Through Global Health Case Reportsmentioning

confidence: 99%

Global Health Education and Advocacy: Using BMJ Case Reports to Tackle the Social Determinants of Health

Douthit¹,

Biswas²

2018

Front. Public Health

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“…Home delivery, an alternative to facility-based care, have its own negative maternal and neonatal outcomes. Homes generally lack emergency equipment and often without skilled providers, so delivery complications often result in preventable disabilities, morbidities, and maternal and neonatal deaths [14,15]. In Ghana, skilled-birth delivery occurs only in healthcare facilities.…”

Section: Introductionmentioning

confidence: 99%

“…Evidence suggests that subjecting childbearing women to any form of abuse during labour and delivery may result in the death of either mother or baby or both [13]. Indirectly, D&AC in healthcare facilities have compelled childbearing women to deliver their babies at home, which predisposes both mother and baby to conditions that threaten their survival [14,15]. The threat D&AC poses to the health and lives of women and children violates their basic human rights to life, dignity, and quality of life [27,28].…”

Section: Introductionmentioning

confidence: 99%

“I wouldn’t have hit you, but you would have killed your baby:” exploring midwives’ perspectives on disrespect and abusive Care in Ghana

Dzomeku

Mensah

Nakua

et al. 2020

BMC Pregnancy Childbirth

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Background: Quality maternal health reduces maternal and neonatal mortality and morbidity. Healthcare professionals, including midwives, are significant agents for the promotion of quality maternal health. Frequents reports of disrespect and abuse of childbearing women by midwives during intrapartum care are becoming common, suggesting that many of these agents are engaging in care practices that compromise quality maternal health. Thus, understanding midwives' descriptions and experiences of the phenomenon is critical to addressing the threat. This paper, therefore, explored the understanding of midwives on D&AC and their occurrence in professional practice in a tertiary health facility in Kumasi, Ghana. Methods: An exploratory descriptive qualitative research design using an interpretative approach was employed in the study. Data were generated through individual in-depth interviews. Data saturation was reached with fifteen interviews. The interviews were audio-recorded and transcribed verbatim. Open Code 4.03 was used to manage and analyse the data. Results: The midwives understood D&AC. They also confirmed meting out or witnessing colleagues engage in D&AC in their professional practice. The midwives described D&AC as the provision of inadequate care and the overlooking of patient-centred care, and verbal, physical, and psychological abuse. The themes revealed that socioeconomic inequalities, provider perception and victim-blaming, and health system-related factors facilitate D&AC. It emerged that the following marginalized groups were at high risk for D&AC: the non-compliant, mentally ill, HIV/ AIDs+, teenagers, poor, and childbearing women on admission at the general labour ward. Conclusion: The midwives understood D&AC and revealed that it frequently occurred in their professional practice. Frequent in-service training on respectful maternity care and monitoring of care provision in healthcare facilities are needed to eliminate the incidence of D&AC.

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“…Home deliveries, an alternative to facility-based care, have their own negative maternal and neonatal outcomes. Homes generally lack emergency equipment and skilled providers, so delivery complications often result in preventable disabilities, morbidities, and maternal and neonatal deaths [14,15]. In Ghana, skilled-birth delivery occurs only in healthcare facilities.…”

Section: Introductionmentioning

confidence: 99%

“I wouldn’t have hit you, but you would have killed your baby:” Exploring Midwives’ Perspectives on Disrespect and Abusive Care in Ghana.

Dzomeku

Bemah

Nakua

et al. 2019

Preprint

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Background Midwives’ disrespect and abuse of childbearing women have deleterious consequences on maternal and neonatal health. Thus, understanding midwives’ views on the subject is critical to addressing the threat. Views of many stakeholders, except midwives, on disrespect and abusive care (D&AC) are frequently researched. This paper, therefore, explored the views of midwives on D&AC and their occurrence in professional practice in a tertiary health facility in Kumasi, Ghana. Method Phenomenological qualitative research design was employed in the study. Data were generated through individual in-depth interviews. Data saturation was reached with fifteen midwives. The interviews were audio-recorded and transcribed verbatim. Open Code 4.03 was used to manage and analyze the data. Findings The midwives understood D&AC. They also confirmed meting out or witnessing colleagues engage in D&AC in their professional practice. Socioeconomic inequalities and health system structures and processes emerged as facilitators of D&AC. It emerged that the following marginalized groups were at high risk for D&AC: the non-compliant, mentally ill, HIV/AIDs+, teenagers, poor, and the general labour ward childbearing women. Conclusion The midwives understood D&AC and revealed that it frequently occurred in their professional practice. Frequent in-service training on respectful maternity care and monitoring of care provision in healthcare facilities are needed to eliminate the incidence of D&AC.

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Consequences of delivery at home in a woman without prenatal care

Cited by 4 publications

References 15 publications

Global Health Education and Advocacy: Using BMJ Case Reports to Tackle the Social Determinants of Health

Global Health Education and Advocacy: Using BMJ Case Reports to Tackle the Social Determinants of Health

“I wouldn’t have hit you, but you would have killed your baby:” exploring midwives’ perspectives on disrespect and abusive Care in Ghana

“I wouldn’t have hit you, but you would have killed your baby:” Exploring Midwives’ Perspectives on Disrespect and Abusive Care in Ghana.

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