Measures to enhance the cooperation of primigravida patients during vaginal examinations in a midwifery obstetric unit in South Africa

dc.contributor.authorTshabalala, Ntsoaki M.
dc.contributor.authorVan Wyk, Neltjie C.
dc.contributor.authorRossouw, Seugnette
dc.contributor.emailneltjie.vanwyk@up.ac.zaen_ZA
dc.date.accessioned2021-03-10T14:14:59Z
dc.date.available2021-03-10T14:14:59Z
dc.date.issued2019-12
dc.description.abstractThe study aimed to explore and describe measures to enhance the cooperation of primigravida patients during vaginal examinations in the first stage of labour. Vaginal examinations are performed during the first stage of labour to monitor the process and to determine the need for surgical intervention in case of complications. The researcher observed at a midwives obstetric unit that on average two out of five primigravida patients per week refuse vaginal examinations. The progress of labour can thus not be determined, and the midwives have no choice than to refer them to a nearby hospital for monitoring and further management. A descriptive and contextual qualitative study was done. Data was collected through semi-structured individual interviews with 10 midwives from a midwifery obstetric unit in a community health centre in the Tshwane District in the Gauteng Province of South Africa. Three categories emerged namely: 1) create a conducive environment, 2) render support during the procedure, and 3) enhance patient involvement. The sub-categories refer to how to create a good nurse-patient relationship, gain the trust of the patient, overcome language barriers, obtain verbal informed consent for the procedure, ensure privacy during the procedure, enable peer support, and involve the patients in decision-making. The authors conclude that primigravida patients are afraid of vaginal examinations due to a lack of information with regard to the procedure. Early preparation, family support and the involvement of the patients in decision-making can enhance their cooperation. Midwifery policy guidelines should include measures to enhance the cooperation of primigravida patients during vaginal examinations. Culturally sensitive language policies should be implemented to ensure that interpreters/translators are available to patients.en_ZA
dc.description.departmentNursing Scienceen_ZA
dc.description.librarianam2021en_ZA
dc.description.urihttp://www.journals.co.za/ej/ejour_genbeh.htmlen_ZA
dc.identifier.citationTshabalala, N.M., Van Wyk, N.C. & Rossouw, S. 2019, 'Measures to enhance the cooperation of primigravida patients during vaginal examinations in a midwifery obstetric unit in South Africa', Gender and Behaviour, vol. 17, no. 4, pp. 14169-14179.en_ZA
dc.identifier.issn1596-9231
dc.identifier.urihttp://hdl.handle.net/2263/78995
dc.language.isoenen_ZA
dc.publisherIFE Center for Psychological Studiesen_ZA
dc.rights© 2019 Ife Centre for Psychological Studies/Services, Ile-Ife, Nigeriaen_ZA
dc.subjectEnhance cooperationen_ZA
dc.subjectPrimigravida patientsen_ZA
dc.subjectVaginal examinationsen_ZA
dc.subjectFirst stage of labouren_ZA
dc.subjectMidwifery obstetric uniten_ZA
dc.subjectSouth Africa (SA)en_ZA
dc.titleMeasures to enhance the cooperation of primigravida patients during vaginal examinations in a midwifery obstetric unit in South Africaen_ZA
dc.typeArticleen_ZA

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