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Traditional birth attendants’ experiences during the provision of post-natal care in Mopani District, Limpopo province of South Africa

机译:传统的出生员在南非湖泊省Mopani区出纳后护理期间的经验

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Background: South African maternity care guidelines stipulate that post-natal patients can be discharged within 6 h after delivery, provided that the condition of mothers and neonates do not require medical, surgical or obstetric attention. Hence in many instances post-natal care is rendered at home by traditional birth attendants (TBAs). Traditional birth attendants play a crucial role in the care of women during pregnancy, birth and puerperium within communities.Aim: To explore and describe the experiences of TBAs during the provision of post-natal care to mothers and their neonates in order to make recommendations to improve the quality of post-natal care delivered at home.Setting: The community hall of a selected rural traditional community was used as a setting for data collection.Methods: A qualitative, exploratory and descriptive design was used. Three focus groups were held with 26 TBAs whom were purposively selected. Data were analysed using qualitative content analysis.Results: The study confirmed two categories that included: lack of supportive working relationships between TBAs and midwives and lack of respect of TBAs, by post-natal women.Conclusion: It is evident that the TBAs experienced negative experiences. Therefore, initiation of teamwork, empowerment and confidence development are crucial to improve the working experiences of TBAs during the provision of post-natal care. Quality post-natal care might reduce maternal and neonatal morbidity and mortality rates. Teamwork between TBAs and midwives might be initiated. Continuity of care for post-natal women might be improved.
机译:背景:南非产科护理指南规定,产后患者可以在送货后6小时内出院,条件是母亲和新生儿的状况不需要医疗,手术或产科关注。因此,在许多情况下,行动后护理在家里被传统的出生服务员(TBA)呈现。传统的出生员在妇女怀孕,出生和产褥期内妇女的关心作用。探索并描述在为母亲及其新生儿提供母亲及其新生儿的母亲和新生儿后的TBA的经验。为了提出建议提高家庭后护理的质量。诱捕:选定的农村传统社区的社区大厅被用作数据收集的环境。方法:使用定性,探索性和描述性设计。三个焦点小组举行了26个TBA,其中被任意地选择。使用定性内容分析进行分析数据:该研究证实了包括:TBA和助产士之间缺乏支持性工作关系,并缺乏NATAL妇女的TBA缺乏TBA。结论:TBA经历了负面经验。因此,对团队合作,赋权和信心发展的启动至关重要,以改善遗产后护理期间TBA的工作经验。产后护理质量可能会降低孕产妇和新生儿发病率和死亡率。可以启动TBA和助产士之间的团队合作。可能改善了产后妇女的关心的连续性。

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