du Plessis Allison H, van Rooyen Dalena, Ten Ham-Baloyi Wilma
Faculty of Health Science, Nelson Mandela University, Port Elizabeth, South Africa.
Health SA. 2021 Nov 9;26:1631. doi: 10.4102/hsag.v26i0.1631. eCollection 2021.
Screening for chorioamnionitis, or the risk thereof, by midwives is largely lacking during antenatal care and no best practice guidelines for chorioamnionitis in South Africa was noted.
To explore and describe midwives' knowledge and practices related to the screening and management of women who are at risk of or diagnosed with chorioamnionitis.
Public healthcare institutions in a health district in the Eastern Cape province of South Africa.
A qualitative, exploratory, descriptive and contextual research design was used. Ten midwives were purposively included in this study, and semi-structured interviews were conducted with them. The data were analysed using an adapted version of Tesch's eight steps for data analysis.
The main theme revealed that midwives lack knowledge regarding chorioamnionitis, resulting in incorrect practices including a lack of screening, misdiagnosis and mismanagement of the infectious condition.
Findings of this research showed that midwives lacked knowledge regarding the screening and management of women with chorioamnionitis resulting in incorrect practices in this regard. There is thus a need for midwives to update their knowledge regarding the screening and management of chorioamnionitis and training (e.g. through a short learning programme).
Findings of this study could be used by midwives to update their knowledge regarding screening and managing women with chorioamnionitis, which is expected to translate to better practices. Moreover, study findings were synthesised with the results of a literature review study to form the basis for the development of a best practice guideline for screening and managing women with chorioamnionitis.
在产前护理期间，助产士对绒毛膜羊膜炎或其风险的筛查基本缺失，且未发现南非关于绒毛膜羊膜炎的最佳实践指南。
探讨并描述助产士在筛查和管理有绒毛膜羊膜炎风险或已确诊绒毛膜羊膜炎的女性方面的知识和实践。
南非东开普省一个健康区的公共医疗机构。
采用定性、探索性、描述性和情境性研究设计。本研究有意纳入了10名助产士，并对她们进行了半结构化访谈。使用改编后的特施数据分析八步法对数据进行分析。
主要主题显示，助产士缺乏关于绒毛膜羊膜炎的知识，导致出现包括缺乏筛查、对感染状况误诊和管理不当等错误做法。
本研究结果表明，助产士缺乏对绒毛膜羊膜炎女性进行筛查和管理的知识，从而在这方面导致了错误做法。因此，助产士需要更新她们关于绒毛膜羊膜炎筛查和管理的知识并接受培训（例如通过短期学习项目）。
本研究结果可供助产士用于更新她们关于筛查和管理绒毛膜羊膜炎女性的知识，有望转化为更好的实践。此外，研究结果与一项文献综述研究的结果相结合，为制定绒毛膜羊膜炎女性筛查和管理的最佳实践指南奠定了基础。
