Perceived barriers to the prevention of preterm births in obstetric units of the Limpopo Province, South Africa

Abstract

Background/Aims Most African states are faced with challenges in the healthcare sector, such as the lack of skilled healthcare professionals, materials and supplies and inadequate infrastructure. These challenges lead to an increased rate of preterm births. The aim of this study was to explore and describe barriers to the prevention of preterm births in the obstetric units of Limpopo Province. Methods An explorative, descriptive design was used to obtain primary data, which were used to develop guidelines to assist resource-limited obstetric units. Purposive sampling was used to select 10 managers and 15 midwives, making a total of 25 participants. In-depth individual interviews were used to collect data that were analysed using Tesch's open coding approach. Results The barriers to the prevention of preterm births in Limpopo Province, South Africa were a shortage of healthcare professionals, a lack of emotional and psychological support and poor communication. Conclusions The successful prevention of preterm births in Limpopo Province is not possible because of structural and psychosocial barriers alluded to by midwives and managers at obstetric units. It is recommended that the Maternal, Women and Child Health Directorate in Limpopo implement the standards of care as stipulated in the national maternity guidelines of South Africa, to address the quality and quantity of human resources and equipment.

Barriers and Facilitators Influencing Midwives’ Implementation of South Africa’s Maternal Care Guidelines in Postnatal Health: A Scoping Review

“…The three layers must cooperate to deliver services effectively and e ciently while reducing costs (South African Department of Health, 2015;18). In addition, to provide women with the best care possible, regionalised care and a coordinated referral system are required (South African Department of Health, 2015:16;Malwela et al, 2022). Nonetheless, this is limited by ineffective collaboration and communication within the healthcare systems (Saving Mothers Report, 2018).…”