scholarly journals Midwives’ challenges in the management of postpartum haemorrhage at rural PHC facilities of Limpopo province, South Africa: an explorative study

2021 ◽  
Vol 21 (1) ◽  
pp. 311-9
Author(s):  
Thifhelimbilu Irene Ramavhoya ◽  
Maria Sonto Maputle ◽  
Rachel Tsakani Lebese ◽  
Lufuno Makhado
Keyword(s):  
South Africa ◽  
Health Care ◽  
Maternal Mortality ◽  
Postpartum Haemorrhage ◽  
Health Care Facilities ◽  
Limpopo Province ◽  
Successful Implementation ◽  
Data Saturation ◽  
Care Guidelines ◽  
Primary Health Care Facilities

Background: Postpartum haemorrhage is one of the causes of the rise in maternal mortality. Midwives’ experiences related to postpartum haemorrhage (PPH) management remain unexplored, especially in Limpopo. The purpose of the study was to explore the challenges experienced by midwives in the management of women with PPH. Methods: Qualitative research was conducted to explore the challenges experienced by midwives in the management of women with PPH. Midwives were sampled purposefully. Unstructured interviews were conducted on 18 midwives working at primary health care facilities. Data were analysed after data saturation. Results: After data analysis, one theme emerged “challenges experienced by midwives managing women with PPH” and five subthemes, including: “difficulty experienced resulting in feelings of frustrations and confusion and lack of time and shortage of human resource inhibits guidelines consultation”. Conclusion: The study findings revealed that midwives experienced difficulty when managing women with postpartum haemorrhage. For successful implementation of maternal health care guidelines, midwives should be capacitated through training, supported and supervised in order to execute PPH management with ease. Keywords: Midwifery in South Africa; implementation of maternal guidelines; postpartum haemorrhage; maternal mortality.

scholarly journals Usage of Implant Contraceptive Method by Sexually Active Women: An Exploration of The Factors Contributing To Implant Contraceptive Method Uptake in Vhembe District, Limpopo Province, South Africa.

2021 ◽  
Author(s):  
Rhulani Caroline Shihundla ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Contraceptive Method ◽  
Negative Attitude ◽  
Cost Effective ◽  
Health Care Facilities ◽  
Limpopo Province ◽  
Sexually Active ◽  
Structured Interviews ◽  
Data Saturation ◽  
Vhembe District

Abstract Background The estimation of unmet contraceptive needs triggered the National Department of Health in South Africa to introduced the Implant contraceptive method in 2014 to increase the range of contraceptive options for sexually active women. Implant contraceptive uptake remains low in the Vhembe District despite its effectiveness in preventing unintended pregnancy. Very little is known about the factors that affect the usage of this cost-effective device. Aim To explore sexually active women's knowledge, practices and attitudes related to the usage of the Implant contraceptive method in Vhembe District, Limpopo Province. Methods The study was qualitative, explorative, descriptive and contextual, conducted using a non-probability purposive technique to sample 62 sexually active women aged from 18–45 years. The sample size was determined by data saturation. Five (5) focus group discussions were conducted using semi-structured interviews, which lasted for 45–60 minutes. Tesch's eight steps of open coding were used to analyse data. Results Results revealed that sexually active women experience some challenges related to Implant Contraceptive Method. The majority of women had little knowledge about the device, making it difficult for them to use the method. The majority of sexually active women indicated that they are interested in the method and would like to enjoy the benefits. Conclusion Sexually active women's intentions to utilise the Implant contraceptive method was very low as the majority of them had a negative attitude towards the method, due to insufficient knowledge. Professional nurses should inform women and public members about newly introduced Implant contraceptive method at Primary Health Care facilities to enhance usage.

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