Department of Advanced Nursing, University of Venda, Private Bag X5050, Thohoyandou, 0950, South Africa.
BMC Pregnancy Childbirth. 2018 Jun 5;18(1):210. doi: 10.1186/s12884-018-1860-8.
Physical 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.
A 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.
Five 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.
The 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.
在分娩期间的身体存在为女性提供了拥有积极分娩体验和分娩结果的机会。本研究旨在确定在林波波省的一家公立医院中，助产士在产程护理中提供了哪些支持。该研究在林波波省的一家三级医院进行。
采用参与者观察方法来实现研究目标。研究人群包括所有因分娩而入院的妇女和在林波波省一家三级公立医院的产科病房提供助产护理的助产士。采用非概率、目的和便利抽样方法，抽取了 24 名妇女和 12 名助产士。通过参与者观察收集数据，包括与使用观察指南的非结构化对话、记录所有事件和妇女与助产士互动时发生的对话的现场记录，并逐字记录、视觉模拟量表以补充观察。数据进行了定性分析，但以表格和柱状图的形式呈现。
在分娩期间，助产士提供的支持主要有五个主题，即妇女与助产士之间的沟通、信息支持、情感支持活动、对经历的分娩疼痛的解释以及分娩期间的支持性护理活动。
妇女与助产士之间的沟通是作为助产护理的一部分进行的，但非常有限，无法赋予权力。信息共享侧重于辅助行动，而不是促进母亲参与的活动。情感支持活动表明缺乏尊重和忽视文化偏好，这导致无法在决策中行使选择。该研究建议实施巴托佩莱原则，以便在分娩期间提供以妇女为中心的护理。
