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You searched for subject:(Labor Obstetrics Namibia). Showing records 1 – 2 of 2 total matches.

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Nelson Mandela Metropolitan University

1. Fernandes, Diina. Midwives' experiences regarding the utilization of partographs in a Namibian Regional Hospital.

Degree: Faculty of Health Sciences, 2015, Nelson Mandela Metropolitan University

Labour has been characterized as the most dangerous journey a woman undertakes. The reason being, that although it is a natural process, many labouring women suffer complications during labour and childbirth including prolonged or obstructed labour. These complications can result in maternal and infant morbidity and mortality. The partograph is a monitoring tool that can provide a continuous pictorial overview and is essential to monitor and manage labour. It is recommended by the WHO for use universally by midwives while monitoring labour. However partographs are poorly utilized and most parameters on the partograph are not monitored and findings after reviewing a labouring woman are not documented on the partograph. It is unclear how midwives working in Namibian Health services experience and utilize the partograph during the monitoring of a woman in labour. These may be the factors that hinder the effective utilization of the partograph. The objective of this study was to explore and describe the experiences of midwives regarding the utilization of the partograph for monitoring a labouring woman in a Namibian regional hospital in order to develop guidelines based on the findings to improve the use of the partograph by midwives in order to improve the management of labour. The research design was qualitative, descriptive, explorative and contextual in nature. The research population consisted of midwives working in a regional hospital in Namibia. A purposive and convenient sampling method was used to select participants. Specific inclusion criteria were met and consent was obtained from the participants and from the Regional Health Directorate Management of the hospital where the research was conducted. Interviews were conducted by an independent interviewer within the Department of Health to ensure an unbiased viewpoint. Data were collected by means of semi-structured in depth interviews with a guide, using an audio tape recorder. Field notes were used to record non- verbal communication. As soon as data were saturated, the interviews were stopped. They were then transcribed, verbatim and analysed using the Tesch’s approach as described in (Creswell, 2009:186). The service of an independent coder was utilized to ensure trustworthiness. Trustworthiness was further ensured by using the strategies suggested by Lincoln and Guba’s model, namely credibility, transferability, dependability and confirmability. Ethical considerations were honoured throughout by adhering to ethical principles during the study. These included ensuring that the participants` rights were respected, they were not harmed and fairness were ensured. On completion of the data analysis a literature control was conducted and existing literature was compared to the findings in order to identify similarities and differences and to verify whether the literature supported the findings. Four main themes that emerged during data analysis are:  Theme 1.Midwives found it a positive experience to use the partograph when caring for a woman in labour.  Theme…

Subjects/Keywords: Midwifery  – Namibia; Labor (Obstetrics)  – Namibia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Fernandes, D. (2015). Midwives' experiences regarding the utilization of partographs in a Namibian Regional Hospital. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/d1021158

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Fernandes, Diina. “Midwives' experiences regarding the utilization of partographs in a Namibian Regional Hospital.” 2015. Thesis, Nelson Mandela Metropolitan University. Accessed June 18, 2019. http://hdl.handle.net/10948/d1021158.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Fernandes, Diina. “Midwives' experiences regarding the utilization of partographs in a Namibian Regional Hospital.” 2015. Web. 18 Jun 2019.

Vancouver:

Fernandes D. Midwives' experiences regarding the utilization of partographs in a Namibian Regional Hospital. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2015. [cited 2019 Jun 18]. Available from: http://hdl.handle.net/10948/d1021158.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Fernandes D. Midwives' experiences regarding the utilization of partographs in a Namibian Regional Hospital. [Thesis]. Nelson Mandela Metropolitan University; 2015. Available from: http://hdl.handle.net/10948/d1021158

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation


Stellenbosch University

2. Nsangamay, Tshimanga. How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia.

Degree: MFamMed, Family and Emergency Medicine, 2018, Stellenbosch University

ENGLISH SUMMARY : Background: Although no studies on the quality of emergency obstetric care including care for postpartum haemorrhage have been published from Namibia, the condition is a major cause of maternal morbidity and mortality and the huge burden of pregnancy related death is disproportionately shared by low and middle income countries in Africa and Asia. Aim: The aim of this project was to assess and improve the quality of care for women with postpartum haemorrhage Setting: Onandjokwe Hospital (maternity ward), Namibia Methods: Quality improvement cycle Results: One hundred and fifty two files were audited (eighty two in the baseline audit and seventy in the re-audit). In the baseline audit twelve out of nineteen structural target standards were achieved and none of the process target standard were met. During the re-audit ten months later, statistically-significant improvement in performance(p < 0.05) was observed, all structural target standard were achieved, six out of nine process target standard and two out three outcome target standard were met. Conclusion: The quality of care for postpartum haemorrhage was substandard in our healthcare setting. Interventions were setup and implemented to improve the quality of care for postpartum haemorrhage. These interventions induced a significant improvement in structural and process criteria and a significant improvement was also seen in 91.4 % of women treated and stabilised from postpartum haemorrhage complications within six hours after being diagnosed during re-audit.

AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar.

Advisors/Committee Members: Mash, Robert, Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care..

Subjects/Keywords: Women patients  – Medical care  – Oshana (Namibia); Labor (Obstetrics)  – Complications; Onandjokwe State Hospital  – Oshana (Namibia); UCTD

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Nsangamay, T. (2018). How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia. (Thesis). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/103363

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Nsangamay, Tshimanga. “How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia.” 2018. Thesis, Stellenbosch University. Accessed June 18, 2019. http://hdl.handle.net/10019.1/103363.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Nsangamay, Tshimanga. “How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia.” 2018. Web. 18 Jun 2019.

Vancouver:

Nsangamay T. How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia. [Internet] [Thesis]. Stellenbosch University; 2018. [cited 2019 Jun 18]. Available from: http://hdl.handle.net/10019.1/103363.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Nsangamay T. How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia. [Thesis]. Stellenbosch University; 2018. Available from: http://hdl.handle.net/10019.1/103363

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

.