Midwives’ experiences of providing pre-eclampsia care in a low- and middle-income country – A qualitative study
Article
Article Title | Midwives’ experiences of providing pre-eclampsia care in a low- and middle-income country – A qualitative study |
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ERA Journal ID | 30465 |
Article Category | Article |
Authors | Garti, Isabella, Gray, Michelle, Bromley, Angela and Tan, Jing-Yu (Benjamin) |
Journal Title | Women and Birth |
Journal Citation | 37 (2), pp. 332-339 |
Number of Pages | 8 |
Year | 2024 |
Publisher | Elsevier |
Place of Publication | Netherlands |
ISSN | 1871-5192 |
1878-1799 | |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.wombi.2023.11.001 |
Web Address (URL) | https://www.sciencedirect.com/science/article/pii/S1871519223003049 |
Abstract | Problem: Like other low- and middle-income countries, Ghana has high maternal mortality stemming from pre-eclampsia. Ghanaian midwives are frontline service providers of emergency care in obstetric complications and have the greatest potential to maximise pre-eclampsia outcomes. Little is known about the potential barriers and challenges to midwives' capacity to provide quality care in pre-eclampsia in Ghana. Therefore, we aimed to explore and gain insights into midwives’ experiences of pre-eclampsia care including their knowledge, skills, and psychological aspects such as midwives' resilience. Background: There is a rising global incidence of pre-eclampsia. Quality midwifery care in inter-professional collaborative practice is crucial to reducing pre-eclampsia-related morbidity and mortality. Methods: A qualitative descriptive exploratory study. In-depth semi-structured interviews (n = 35) were performed in 2021 and analysed by thematic analysis. Findings: There were three main themes. 1) Competence and Confidence in care; midwives provided timely and appropriate care based on sound knowledge and skills; they explained how pre-eclampsia care was organised within a multidisciplinary context and described collaborative working amongst midwives for mutual learning and support. 2) Emotional concerns and empathy; midwives’ described fulfillment in achieving positive pre-eclampsia outcomes. In contrast, maternal loss was distressing and traumatic. 3) Call for improved care resources for pre-eclampsia; midwives recommended expansion of continuing professional development opportunities, appropriate infrastructure, resources, tailored public education, and a review of pre-service education to support their participation in pre-eclampsia care. Conclusion: To improve the quality of care in pre-eclampsia, midwives should be capacitated, systems should promptly address barriers, and prioritise midwives’ emotional well-being. |
Keywords | Experiences; Low- and middle-income country; Midwifery; Midwives; Pre-eclampsia; Qualitative |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 420499. Midwifery not elsewhere classified |
Byline Affiliations | Charles Darwin University |
Edith Cowan University | |
School of Nursing and Midwifery |
https://research.usq.edu.au/item/z5886/midwives-experiences-of-providing-pre-eclampsia-care-in-a-low-and-middle-income-country-a-qualitative-study
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