Mantula Fennie, Chamisa Judith Audrey, Nunu Wilfred Njabulo, Nyanhongo Prisca Sophia
Department of Nursing and Midwifery, Faculty of Medicine, National University of Science and Technology, Ascot, Bulawayo, Zimbabwe.
Department of Environmental Health, Faculty of Environmental Science, National University of Science and Technology, Ascot, Bulawayo, Zimbabwe.
SAGE Open Nurs. 2023 Feb 27;9:23779608231160476. doi: 10.1177/23779608231160476. eCollection 2023 Jan-Dec.
Midwives attend intrapartum women of diverse ethnic backgrounds who each bring their cultural beliefs into the labor and delivery rooms. The International Confederation of Midwives has recommended providing culturally appropriate maternity care in its quest to increase skilled birth attendance and subsequently improve maternal and newborn health.
This study aimed to examine midwives' cultural sensitivity during intrapartum care from women's perspectives, and how this relates to women's satisfaction with maternity care services.
A qualitative phenomenological design was employed. Two focus group discussions were conducted with 16 women who had delivered in the labor ward of the selected national referral maternity unit. An interpretive phenomenological approach was used to analyze the data.
This study revealed ineffective midwife-woman collaboration that excludes the incorporation of women's cultural beliefs in the design of maternity care plans. Emotional, physical, and informational support in the care provided to women during labor and childbirth was found to be incompetent. This suggests that midwives are not sensitive to cultural norms and do not provide woman-centered intrapartum care.
Various factors implying midwives' lack of cultural sensitivity in their provision of intrapartum care were identified. Resultantly, women's expectations of labor are not met and this could negatively affect future maternity care-seeking behaviors. This study's findings provide policy makers, midwifery program managers and implementers with better insights for developing targeted interventions to improve cultural sensitivity for the delivery of respectful maternity care. Identifying factors that affect the implementation of culture-sensitive care by midwives could guide the adjustments required in midwifery education and practice.
助产士为不同种族背景的分娩期妇女提供护理服务，每位妇女都会将自己的文化信仰带入产房。国际助产士联合会建议提供符合文化背景的孕产妇护理，以增加熟练接生人员数量，进而改善孕产妇和新生儿健康状况。
本研究旨在从妇女的角度审视助产士在分娩期护理中的文化敏感性，以及这与妇女对孕产妇护理服务满意度之间的关系。
采用质性现象学设计。在选定的国家级转诊产妇单位的产房，对16名已分娩的妇女进行了两次焦点小组讨论。采用解释性现象学方法分析数据。
本研究揭示了助产士与妇女之间无效的协作，在制定孕产妇护理计划时未纳入妇女的文化信仰。发现在分娩和分娩期间为妇女提供的护理中，情感、身体和信息支持不足。这表明助产士对文化规范不敏感，未提供以妇女为中心的分娩期护理。
确定了助产士在提供分娩期护理时缺乏文化敏感性的各种因素。结果，妇女对分娩的期望未得到满足，这可能会对未来寻求孕产妇护理的行为产生负面影响。本研究结果为政策制定者、助产专业项目管理人员和实施者提供了更好的见解，有助于制定有针对性的干预措施，以提高提供尊重孕产妇护理的文化敏感性。确定影响助产士实施文化敏感护理的因素，可以指导助产教育和实践所需的调整。
