Ngunyulu Roinah N, Mulaudzi Fhumulani M, Peu Mmampheko D
Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
Health SA. 2020 Dec 9;25:1468. doi: 10.4102/hsag.v25i0.1468. eCollection 2020.
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.
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.
The community hall of a selected rural traditional community was used as a setting for data collection.
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.
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.
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.
南非产妇护理指南规定，产后患者在分娩后6小时内可以出院，前提是母亲和新生儿的状况不需要医疗、手术或产科护理。因此，在许多情况下，产后护理由传统助产士（TBA）在家庭中提供。传统助产士在社区内妇女的孕期、分娩期和产褥期护理中发挥着关键作用。
探讨并描述传统助产士在为母亲及其新生儿提供产后护理期间的经历，以便提出建议，提高在家中提供的产后护理质量。
选定的农村传统社区的社区礼堂被用作数据收集地点。
采用定性、探索性和描述性设计。与26名经过有目的选择的传统助产士进行了3次焦点小组讨论。使用定性内容分析法对数据进行分析。
该研究确定了两类问题，包括：传统助产士与助产士之间缺乏支持性工作关系，以及产后妇女对传统助产士缺乏尊重。
显然，传统助产士经历了负面体验。因此，开展团队合作、增强能力和培养信心对于改善传统助产士在提供产后护理期间的工作体验至关重要。高质量的产后护理可能会降低孕产妇和新生儿的发病率和死亡率。可以启动传统助产士与助产士之间的团队合作。可以改善产后妇女护理的连续性。
