Thesis (M.Cur.) --University of Limpopo, 2011 / Introduction and aim: Globally it is of paramount importance that all pregnant women in labour are monitored by midwives utilizing a partograph so that a live baby is delivered. Midwives seemed not to utilize the partograph correctly when monitoring women in labour. The purpose of this study was to determine the utilization of the partograph by midwives in the labour wards of Lebowakgomo and Zebediela level 1 hospitals in the Capricorn District of the Limpopo Province, South Africa. The research question was, “What skills and knowledge do midwives have on the utilization of the partograph for monitoring pregnant women in labour”. The objectives of this study were to explore and describe the utilization of the partograph by midwives in Lebowakgomo and Zebediela level 1 hospitals in the Capricorn District of the Limpopo Province, and to develop guidelines that would assist midwives to effectively utilize the partograph hence provision of quality midwifery care. Research Design and method: The research design was qualitative, descriptive, explorative and contextual in nature. The population comprised all midwives registered with the South African Nursing Council and practicing as such in Lebowakgomo and Zebediela level 1 hospitals. A purposive sampling technique was used to select 15 participants. Data were collected using semi-structured in–depth interviews with a guide. The semi-structured in-depth interviews were conducted until data were saturated. Trustworthiness was ensured by credibility, dependability, transferability and confirmability. Ethical clearance to conduct the study was obtained from the University of Limpopo and from the Department Health and Social Development. The principles of informed consent, confidentiality and anonymity were observed during the study. Data were analyzed using the Tesch’s approach as described by Creswell (1994) cited in de Vos (2005:333). Conclusions: The following themes emerged during data analysis: monitoring of foetal status during intrapartum, monitoring of the progress of labour during intrapartum, monitoring of the maternal status during intrapartum, and shortage of staff in the labour wards. Guidelines which aimed at improving midwifery care were formulated.

Thesis (Ph. D.)--University of Texas at Austin, 2008. / Vita. Includes bibliographical references.

The labour pain experienced by 101 women giving birth in a Scottish hospital was assessed by the McGill Pain Questionnaire and Visual Analogue Scales during active first stage labour and post-natally. Labour pain was found to be on average severe, but not intensely negatively affective. Its intensity varied considerably and was related to parity and the duration of the first stage of labour reflecting underlying differences in levels of noxious stimulation. Other obstetric and pharmacological factors which might affect noxious stimulation were not significantly related to pain scores. Induction was related to higher,and complications of pregnancy, to lower levels of pain attributable to psychological modulation. The desirability of pregnancy, positive and accurate expectations of birth, ante-natal training and the welcomed presence of the husband at the birth were associated with significantly lower levels of labour pain, particularly of non-sensory pain. A few subjects had very minimal previous experience of pain. These subjects had the lowest levels of pain in childbirth, perhaps because they were relatively insensitive to noxious stimulation. Subjects whose previous experience of pain had been extensive had significantly lower levels of labour pain than subjects whose previous pain experience had been more limited. Subjects who had extensive experience of pain used a larger number of strategies to cope with that pain than subjects whose experience had been more moderate. They used more strategies during labour, a greater proportion of which they had used previously. The use of a number of strategies in labour, either in combination or in sequence was related to lower levels of labour pain but not to painless childbirth. So too was the use of strategies which had been previously utilised. The relationship between previous pain experience and levels of labour pain was mediated by the differential use of coping strategies.

Thesis (J.C.L.)--Catholic University of America, 1989. / Includes bibliographical references (leaves 67-71).

Thesis (J.C.L.)--Catholic University of America, 1989. / This is an electronic reproduction of TREN, #029-0168. Includes bibliographical references (leaves 67-71).

Thesis (M.Sc.)--Memorial University of Newfoundland, 1987. / Typescript. Restricted until May 1988. Bibliography : leaves 145-155. Also available online.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-03-13T18:39:08Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) patricia_oliveira_lima.pdf: 920635 bytes, checksum: 08963c1248e0b4cd59423c354c2a171a (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-03-30T16:45:13Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) patricia_oliveira_lima.pdf: 920635 bytes, checksum: 08963c1248e0b4cd59423c354c2a171a (MD5) / Made available in DSpace on 2017-03-30T16:45:13Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) patricia_oliveira_lima.pdf: 920635 bytes, checksum: 08963c1248e0b4cd59423c354c2a171a (MD5) Previous issue date: 2016 / A equipe da maternidade de uma das unidades hospitalares do Vale do Jequitinhonha, em parceria com a Institui??o de Ensino Superior local, inseriu a doula no ambiente hospitalar visando tra?ar caminhos para humanizar a assist?ncia ? mulher durante o processo de parturi??o. Como parte do processo de implementa??o deste projeto surgiu a necessidade de avaliar essa estrat?gia sob diferentes pontos de vista, al?m de refletir sobre a influ?ncia da doulagem na forma??o acad?mica, tendo em vista que a maioria das doulas se encontram em processo de forma??o universit?ria. Dessa forma, o presente estudo, objetivou analisar a compreens?o das pu?rperas, das doulas e da equipe assistencial sobre a presen?a da doula durante o trabalho de parto das gestantes no cen?rio em estudo e a influ?ncia do exerc?cio da doulagem para a forma??o das acad?micas inseridas na maternidade. Trata-se de um estudo explorat?rio/descritivo, de abordagem qualitativa, utilizando como instrumento de coleta de dados entrevistas semiestruturadas. O quantitativo dos entrevistados foi limitado conforme o crit?rio de satura??o, totalizando dezenove entrevistados e os dados foram analisados por meio da an?lise de conte?do. Na an?lise tem?tica da presente pesquisa foram identificadas cinco unidades de contexto que geraram quinze unidades de registros das quais emergiram tr?s categorias e nove subcategorias. As categorias foram: Presen?a da doula durante o trabalho de parto das gestantes e seus significados; Acompanhamento da doula durante o trabalho de parto das gestantes e suas melhorias; A influ?ncia da doulagem na forma??o acad?mica. Foi poss?vel com o estudo reconhecer a doula como parte do cuidado humanizado, prover subs?dios para uma reflex?o do seu trabalho a partir da compreens?o das categorias em estudo, al?m de identificar a relev?ncia da pr?tica da doulagem para forma??o acad?mica das doulas universit?rias. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / The insertion of doulas in a hospital setting in a Jequitinhonha Valley`s maternity was a strategy developed by the maternity team in partnership with a local university, aiming to delineate ways to humanize care for women during the parturition process. As part of this implementation process, arose the necessity to measure this strategy from different points of view, besides on the influence of activities of doulas in an academic education because most of the doulas are university students. Thus, this research aimed to identify the understanding of postpartum women, of doulas and the care team about the presence of the doula during labor of pregnant and the influence of doula?s exercise for process of training of students in the maternity. This research is an exploratory / descriptive study of qualitative approach, semi-structured interviews was used to collect data. The amount of interviewed was limited according the criterion of the saturation. The total of interviewed was nineteen and the data were analyzed by the content analysis. In thematic analysis of this study, it was identified five context units, which generated fifteen units of records, from which emerged three categories and nine sub-categories. The categories were: presence of the doula during labor and their meanings; Monitoring of the doula during labor of pregnant and their improvement; The influence of practice of doula?s exercise in academic education. Witer this study it was possible to recognize the doula as part of humanized care, provide subsidies for a reflection of their job from the understanding of the categories in research, as well as revealing the influence of the practice of doulas for academic training of university studentes.

Thesis (M.S.)--University of Michigan, 1980.