PERCEPTION OF POST-NATAL MOTHER ABOUT MIDWIVES ATTITUDE DURING LABOUR AT CENTRAL HOSPITAL SAPELE, DELTA STATE
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CHAPTER ONE
Introduction…………………………………………………………………………..1
Purpose/Aim of the study…………………………………………………………………………………3
Statement of Problem………………………………………………………………….3
Research questions…………………………………………………………..…………3
Broad objectives of the Study……………………………………………..………….3
Scope of the study ………………………………………………………………………………………….4
Significance of the Study…………………………………..………………………….4
Operational definition of Terms…………………………..……………………………………5
CHAPTER TWO
Literature Review…………………………………………………………………….7
CHAPTER THREE
Methodology………………………………………………………………….……..32
Research design……………………………………………………………………..32
Research setting……………………………………………………………………..32
Research population…………………………………..………………………………32
Sampling techniques …………………………………..……………………………..33
Instrument of data collection…………………………..……………………………..33
Validity of the instrument……………………………………………………………………………….33
Method of data collection…………………………………..………………………..33
Method of Data analysis……………………………………..………………………34
Ethical consideration………………………………………….……………………..34
Limitation of study……………………………………………………………………………………….34
CHAPTER FOUR
Data Analysis…………………………………………………………………………36
CHAPTER FIVE
Discussion of findings……………………………………………….………………55
Implication of study to nursing…………………………………….…………………60
Summary…………………………………………………………………………….60
Conclusion…………………………………………………………………………..61
Recommendation…………………………………………………………………….61
Suggestion for further studies……………………………….………….………..….62
References………………………………………………………………………… 63
LIST OF TABLES
Table 1: Demographic data
Table 2: Percentage distribution showing the Relationship
between the Midwives and Respondents – – 36
Table 3: Percentage distribution showing how women were receiveduring Labour – – – – – —– 39
Table 4: Percentage distribution according to the response on whether the midwives were with them throughout labour 40
Table 5: Percentage distribution according to those that were given any information during labour to re-enforce what they already knew about labour – 41
Table 6: Percentage distribution showing how the midwives attended to the Respondents needs in labour – 42
Table 7: Percentage distribution showing the respondents Respowhat the midwives did when they needed their husband 43
| Table 8: | Percentage distribution showing the attitude of midwives to | |
| them when they were in pains – – – – – 44 | ||
| Table 9: | Percentage distribution showing respondents view | |
| if midwives were friendly and empathetic | ||
| while discharging their duties – – – – – 45 | ||
| Table 9: | Percentage distribution showing how the friendly | |
| attitude of midwives helped women to cope with labour.46- | ||
| Table 10: | Percentage distribution according to whether | |
| midwives answered them when they called for help – – 47 | ||
| Table 11: | Percentage distribution showing the respondents | |
| impression of midwives attitude during labour – – – 48 | ||
| Table 12: | Percentage distribution showing the respondents description | |
| of midwives attitude towards them – – – – 49 | ||
| Table 13: | Percentage distribution showing how best the respondents | |
| think midwives can improve their services – – 50 |
ABSTRACT
The main purpose of this research work is to ascertain perception of postnatal mothers about midwives attitude during labour at Central Hospital Sapele, Delta State. This study is of great importance because the attitude of midwives to women during labour will affect them either positively or negatively invariably affecting the outcome of labour and also influence their decision to patronize the health facility or not during their subsequent pregnancies. The objectives of this study include the following; to find out the level of relationship that exists between the client and midwife during labour, to find out if midwives are kind and empathetic while discharging their duties and to know how mothers perceived the attitude of midwives during labour. The significance of this study is to provide information to improve the attitude of midwives towards women in labour. It will also make midwives to rise up to their responsibilities of caring for the woman in labour. The non-experimental survey research was used and a convenient method of non-probability sampling technique was used to select samples for study, questionnaire was used for data collection. (120) questionnaires were distributed, same retrieved. The data collected were analyzed using frequency table and all information obtained were recorded. The findings revealed that postnatal mothers have good perception about midwives attitude during labour. In conclusion, the researcher suggested that similar studies should be conducted in remote villages where there is high rate of maternal mortality so as to discover the reason why women do not patronize the hospital for delivery.
CHAPTER ONE
INTRODUCTION
Background of the study
World Health Organization (2007) estimated that over half a million women in developing countries die each year from causes related to pregnancy and childbirth, leaving at least one million children motherless and so one feasible way of reducing this mortality rate is to improve the quality of maternal services.In Nigeria with a population of 140 million people with women of child bearing age constituting about 31 million, only about 40% of the deliveries are attended to by trained midwives (Midwives Serves Scheme, 2009).
Every pregnant woman looks forward to the day she will deliver. Women throughout the ages have depended upon a skilled person usually woman to be with them during labour.In the practice of safe delivery therefore, the midwife is expected to be courteous, patient and attend to client’s/patient’s need immediately when taking delivery. McCrea, Wright and Murphy-Black (2008) examined the influence of midwives’ approaches on the care given to women for pain relief during labour and their findings revealed that the midwives approach had a positive influence on the women’s experience of labour pain.
Myles (2009), defined labour as the expulsion of the foetus, placenta and membranes through the birth canal. Labour is a very stressful life experience of women and so the attitude of midwives during labour will either affect them positively or negatively. The emotions of the woman in labour greatly influence her reaction to discomfort and pains and are the contributing factor in determining the amount of physical and mental exhaustion she will experience, hence the whole process of childbearing should be handled with sensitivity and compassion. The midwife needs to appreciate what the woman is thinking and suffering from so as to give adequate care to her therefore communication between the client in labour and the midwife is of utmost importance because explanation of what is happening during labour will go a long way in relieving client’s stress during labour.
Statistics worldwide show that about 130 million women gives birth in the hospital attended to by trained midwives each year (Valarie, 2007), also (Lucia, 2010) states that midwives negative attitude to women in labour influence their decision about where to give birth. Women are most likely to labour best where they feel, safe and private, with midwives who they feel safe with and not a midwife whose attitude will affect them negatively.
A midwife according to (ICM) international definition is a person who having been admitted to a midwifery education programme duly recognized in the country where it is located and have successfully completed the prescribed course of study in midwifery and has acquired the requisite qualification to be registered and legally licensed to practice.Nigerian is spending the stipulated number of years in training recommended by the NMCN’. The midwife must be able to give the necessary supervision, care and advice to women during pregnancy, labour and the post-partum period, to competently conduct deliveries independently and to care for the newborn infant.
Purpose/aim of the study
The study was carried out to explore the perception of postnatal mothers about midwives attitude during labour at Central Hospital, Sapele Delta State.
Statement of the problem
Childbirth is said to be a universally celebrated event, an occasion for dancing, gifts, yet for many women in labour each day in Sub-Sahara Africa particularly in Nigeria, it is not so because of midwives attitude