Development of strategies to enhance holistic antenatal care in Limpopo Province, South Africa: A qualitative method protocol-Reference-Cited by-同舟云学术

Development of strategies to enhance holistic antenatal care in Limpopo Province, South Africa: A qualitative method protocol

Published:2024-06-13 Issue: Volume: Page:
ISSN:
Container-title:
language:
Short-container-title:

Author:

Chewe Violet Manonyana¹,Mathibe-Neke Johannah Mabojalwa²

Affiliation:

1. Faculty of Health Science, Department of Advanced Nursing Sciences, University of Venda, Thohoyandou

2. College of Human Sciences, Department of Health Studies, University of South Africa, Pretoria,

Abstract

Background: Holistic antenatal care encompasses a range of services, including mental, physical, social, intellectual, emotional, and spiritual. Antenatal care is regarded as the cornerstone of maternal health. As such, a lack of holistic antenatal care can lead to poor pregnancy outcomes, such as maternal and perinatal mortality. This study aims to develop strategies to enhance holistic antenatal care in Limpopo Province, South Africa. Methods: The population for the study is pregnant women, midwives, and operational managers in selected community health centers in Limpopo Province, South Africa. Non-probability purposive sampling will be used to select the province, districts, municipalities, and community health centers for the study. Convenience sampling will be used to select participants for antenatal card auditing and non-participatory observations of the antenatal care process as offered by midwives. Pregnant women will engage in focus group discussions. Midwives and operational managers will be sampled for in-depth interviews using nonprobability purposive sampling. Non-participatory observation will be conducted using a checklist and an audit tool to audit antenatal cards to support the qualitative data. Data will be analysed manually using Tesch's thematic analysis method for focus groups and in-depth interviews. Quantitative data will be analysed using computerized statistical software for the social sciences (SPSS 28). Ethical considerations will be adhered to throughout the study. Significance of the study: This study aims to enhance midwives' understanding and practice of holistic antenatal care in Limpopo Province. With the data collected, strategies for enhancing holistic antenatal care will be developed, strengthening the standard of antenatal care. Holistic antenatal care has been proven to contribute to the reduction of maternal and perinatal deaths.

Publisher

Research Square Platform LLC

Reference20 articles.

1. World Health Organization. 2019. Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2019. Licence: CC BY-NC-SA 3.0 IGO. From: www.googlescholar.com. Accessed 01 June 2023.

2. Traylor CS, Johnson JD, Kimmel MC, Manuck TA. 2020. Effects of psychological stress on adverse pregnancy outcomes and nonpharmacologic approaches for reduction: an expert review. Am Journal of Obstetrics Gynecology MFM. 2020;2(4):100229.doi: 10.1016/j.ajogmf.2020.100229. From: www.googlescholar.com. Accessed 15 May 2023.

3. Guintivano J, Manuck T, Meltzer-Brody S. 2018. Predictors of Postpartum Depression: A Comprehensive Review of the Last Decade of Evidence. Clinical Obstetetric Gynecology. 2018;61(3):591–603. From: https://pubmed.ncbi.nlm.nih.gov/29596076/. Accessed 29 April 2023.

4. Word Health Organization. 2023. Maternal Mortality. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality.

5. Hailemeskel S, Alemu K, Christensson K, Tesfahun E, Lindgren H. 2022. Midwife-led continuity of care increases women’s satisfaction with antenatal, intrapartum, and postpartum care: North Shoa, Amhara regional state, Ethiopia: A quasi-experimental study. Women and Birth 35 (2022) 553–562. From: https://pubmed.ncbi.nlm.nih.gov/34489211/. Accessed 15 May 2023.