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Learning Objective 1: The learner will be able to understand what women consider as quality care during childbirth in a hospital in a low income country
Learning Objective 2: The learner will be able to understand the methodological issues related to exploring the meaning of quality care during childbirth in a hospital
AUTHOR: MILIMO, BENSON WILLIESHAM
Email: benmilimo@gmail.com
ABSTRACT
Introduction: Women have different perspectives of the meaning of quality care during childbirth in hospital. Women will tend to avoid hospital birth if the care provided does not meet these perspectives. The researcher sought to determine what women consider quality care during childbirth in the hospital.
Study setting: The study was carried out in the postnatal section of a referral hospital in Kenya.
Purpose: To explore and describe the perspectives of women on the meaning of quality care during childbirth in hospital.
Methods: A qualitative method using exploratory descriptive design was applied. An interview guide was used to conduct In-depth interviews involving 14 mothers in the postnatal ward. The interviews were audio recorded and field notes taken.
Data analysis Audio taped data was transcribed into Ms Word, and then imported into NVIVO 8 software. The interviews were read; emerging ideas were identified, and then grouped into subthemes, which were further categorized to generate themes.
Results: presence of caregiver, relief of pain and discomfort, clean and warm environment and nutritional care emerged as subthemes and were categorized under the theme of caring. Information and positive interpersonal relationship also emerged as themes that define quality care. Clear instructions and frequent information on progress of labour emerged as subthemes defining information as a theme. Attention to individual needs, understanding the mother and a friendly attitude of the care provider emerged as subthemes that were further categorized under the theme of positive interpersonal relationship.
Conclusion: Quality care during childbirth in hospital is determined by the caring aspects, information given to the mothers in labour and the degree of positive interpersonal relationship between the caregiver and the laboring mother.
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