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Understanding workplace culture of midwives relating to pain management during the first stage of labour

Background
Pain during birth process is acknowledged for good progress of labour but severe,
unbearable pain cause reduced effectiveness of contractions and lead to maternal
exhaustion and fetal distress. Non pharmacological and pharmacological pain relief
methods can be implemented to assist the women to cope with pain during labour.
Non-pharmacological and pharmacological pain relief is available in the hospital, but
it is not understood when and how labour pain is assessed and pain relief
implemented.
Research questions
What is the current workplace culture relating to pain management during the first
stage of labour? What alternative strategies can be implemented to address the
current workplace culture relating to pain management during the first stage of
labour?
Research design and methods
A qualitative design was followed. Convenience sampling was used and 18
observations on pain management during labour were done. Midwives taking care of
women during labour took part in the research and their informed consent was
obtained beforehand. Data was collected during unstructured observations of pain
management during labour. Data was analysed by means of the creative
hermeneutic data analysis method.
Main findings
Four themes were derived from the data: pain assessment, isolation, therapeutic
environment and documentation. Based on these themes, strategies for improving
pain management during labour were identified collaboratively. / Dissertation (MCur)--University of Pretoria, 2017. / Nursing Science / PhD / Unrestricted

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:up/oai:repository.up.ac.za:2263/63374
Date January 2017
CreatorsKgodane, Margaret M.
ContributorsYazbek, Mariatha, MARGARETKGODANE@YAHOO.COM, Heyns, Tanya
PublisherUniversity of Pretoria
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeDissertation
Rights© 2017 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.

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