Midwives Experiences of Managing Clients with Eclampsia in a low Resource Setting: A Qualitative Descriptive Study
Objective Eclampsia remains a public health issue, especially in low-resource countries worldwide. Midwives are the backbone of the pregnancy and delivery process. Midwives trained in the necessary knowledge and skills are more likely to notice early warning signals of preeclampsia and immediately h...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-05-01
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| Series: | SAGE Open Nursing |
| Online Access: | https://doi.org/10.1177/23779608221094542 |
| _version_ | 1818202939300249600 |
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| author | Anita Fafa Dartey PhD, MNurs, OHN, RN Gladys Dzansi PhD, MPhil, RN Comfort Worna Lotse MPhil, BPH, RN Racheal Obuobisa BSc, RM Celestine Emefa Afua Bosu BSc, RM Agani Afaya MSc, BSc, RN |
| author_facet | Anita Fafa Dartey PhD, MNurs, OHN, RN Gladys Dzansi PhD, MPhil, RN Comfort Worna Lotse MPhil, BPH, RN Racheal Obuobisa BSc, RM Celestine Emefa Afua Bosu BSc, RM Agani Afaya MSc, BSc, RN |
| author_sort | Anita Fafa Dartey PhD, MNurs, OHN, RN |
| collection | DOAJ |
| description | Objective Eclampsia remains a public health issue, especially in low-resource countries worldwide. Midwives are the backbone of the pregnancy and delivery process. Midwives trained in the necessary knowledge and skills are more likely to notice early warning signals of preeclampsia and immediately help clients in such emergencies. This study explored midwives’ experiences in managing patients with eclampsia in Ghana. Methods This study was conducted among eight registered midwives at maternity units of two district hospitals in the Eastern Region of Ghana, using an exploratory, descriptive qualitative research design. A purposive sampling technique was adopted to select and interview participants. Interviews were audio-recorded, transcribed, and analyzed using qualitative thematic analysis. The right of participation and withdrawal from the study was respected. Findings The three emerged overriding themes are: 1. Midwives have knowledge (warning signs, regimens, and prevention of complications) about the management of eclampsia. 2. Challenges in managing clients included inadequate equipment, staffing, and access to drugs. 3. Strategies for mitigating barriers to care for women with eclampsia (adherence to protocols, teamwork, peer mentoring and supervision, midwives’ attitude, and client education. Conclusion Midwives working in underserved facilities have the knowledge and skill to monitor and manage pregnant women experiencing eclampsia. However, they need to be supported with appropriate resources and advanced equipment to ensure adherence to protocols on managing eclampsia promptly referred. Continuous training and workshops for midwives in the management of hypertension in pregnancy are recommended and the public educated on the dangers of eclampsia. |
| first_indexed | 2024-12-12T03:17:25Z |
| format | Article |
| id | doaj.art-015bfb8d8f214d8da14b477fee665d8e |
| institution | Directory Open Access Journal |
| issn | 2377-9608 |
| language | English |
| last_indexed | 2024-12-12T03:17:25Z |
| publishDate | 2022-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Nursing |
| spelling | doaj.art-015bfb8d8f214d8da14b477fee665d8e2022-12-22T00:40:14ZengSAGE PublishingSAGE Open Nursing2377-96082022-05-01810.1177/23779608221094542Midwives Experiences of Managing Clients with Eclampsia in a low Resource Setting: A Qualitative Descriptive StudyAnita Fafa Dartey PhD, MNurs, OHN, RN0Gladys Dzansi PhD, MPhil, RN1Comfort Worna Lotse MPhil, BPH, RN2Racheal Obuobisa BSc, RM3Celestine Emefa Afua Bosu BSc, RM4Agani Afaya MSc, BSc, RN5 School of Nursing and Midwifery, , PMB 31, Ho, Volta Region, Ghana School of Nursing and Midwifery, College of Health Sciences, , Legon, Ghana School of Nursing and Midwifery, College of Health Sciences, , Legon, Ghana Department of Women and Children, , Ghana Maternity Unit, Akuse Government Hospital, Ghana College of Nursing, , Yonsei-ro, Seodaemun-gu, Seoul, South KoreaObjective Eclampsia remains a public health issue, especially in low-resource countries worldwide. Midwives are the backbone of the pregnancy and delivery process. Midwives trained in the necessary knowledge and skills are more likely to notice early warning signals of preeclampsia and immediately help clients in such emergencies. This study explored midwives’ experiences in managing patients with eclampsia in Ghana. Methods This study was conducted among eight registered midwives at maternity units of two district hospitals in the Eastern Region of Ghana, using an exploratory, descriptive qualitative research design. A purposive sampling technique was adopted to select and interview participants. Interviews were audio-recorded, transcribed, and analyzed using qualitative thematic analysis. The right of participation and withdrawal from the study was respected. Findings The three emerged overriding themes are: 1. Midwives have knowledge (warning signs, regimens, and prevention of complications) about the management of eclampsia. 2. Challenges in managing clients included inadequate equipment, staffing, and access to drugs. 3. Strategies for mitigating barriers to care for women with eclampsia (adherence to protocols, teamwork, peer mentoring and supervision, midwives’ attitude, and client education. Conclusion Midwives working in underserved facilities have the knowledge and skill to monitor and manage pregnant women experiencing eclampsia. However, they need to be supported with appropriate resources and advanced equipment to ensure adherence to protocols on managing eclampsia promptly referred. Continuous training and workshops for midwives in the management of hypertension in pregnancy are recommended and the public educated on the dangers of eclampsia.https://doi.org/10.1177/23779608221094542 |
| spellingShingle | Anita Fafa Dartey PhD, MNurs, OHN, RN Gladys Dzansi PhD, MPhil, RN Comfort Worna Lotse MPhil, BPH, RN Racheal Obuobisa BSc, RM Celestine Emefa Afua Bosu BSc, RM Agani Afaya MSc, BSc, RN Midwives Experiences of Managing Clients with Eclampsia in a low Resource Setting: A Qualitative Descriptive Study SAGE Open Nursing |
| title | Midwives Experiences of Managing Clients with Eclampsia in a low Resource Setting: A Qualitative Descriptive Study |
| title_full | Midwives Experiences of Managing Clients with Eclampsia in a low Resource Setting: A Qualitative Descriptive Study |
| title_fullStr | Midwives Experiences of Managing Clients with Eclampsia in a low Resource Setting: A Qualitative Descriptive Study |
| title_full_unstemmed | Midwives Experiences of Managing Clients with Eclampsia in a low Resource Setting: A Qualitative Descriptive Study |
| title_short | Midwives Experiences of Managing Clients with Eclampsia in a low Resource Setting: A Qualitative Descriptive Study |
| title_sort | midwives experiences of managing clients with eclampsia in a low resource setting a qualitative descriptive study |
| url | https://doi.org/10.1177/23779608221094542 |
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