Perceptions of midwives regarding the role of traditional birth attendants during postnatal care in South Africa

Abstract

The study’s objective was to explore and describe the perceptions of midwives regarding the role of traditional birth attendants during postnatal care. The purpose of the study was to improve the standard of postnatal care, and to empower midwives with knowledge and skills regarding indigenous postnatal care practices, in order to meet the cultural care needs of postnatal patients from different cultural backgrounds. South Africa, as a developing country, has midwives who discharge postnatal patients after six hours post-delivery if the condition of both the mother and the baby is satisfactory; therefore, the traditional birth attendants render postnatal care at home. As a result, the midwives are not aware of the indigenous postnatal care practices used by the traditional birth attendants when taking care of postnatal women. Knowledge gained from this study may assist midwives to identify and address indigenous practices that are a threat to the health of women; to improve the standard of postnatal care. A qualitative approach using in-depth face-to-face interviews with midwives was followed. The findings revealed two themes, namely: (1) positive perceptions of midwives regarding the role of traditional birth attendants; and (2) negative perceptions of midwives regarding the role of traditional birth attendants. It is recommended that there should be teamwork between the midwives and the traditional birth attendants in order to strengthen the referral system of postnatal patients between the clinics or hospitals post-delivery and to enhance and maintain continuity of postnatal care.