CHAPTER THREE 3.0 METHODS AND MATERIALS 3.1. STUDY DESIGN A descriptive qualitative research design (Beck 2012)(Polit Denise F and Beck 2012) was used to explore postnatal mothers and nurse-midwives perceptions and experiences on birthing positions. The design enabled the researcher to gain a deep understanding of the women and midwives perceptions and experiences on birthing positions assumed by women during labour and delivery. It was an explorative using semi-structured interview which allowed the researcher to explore the in-depth, rich information. The design allowed the participants to describe their perceptions and experiences in depth (Beck 2012) (Polit Denise F, and Beck, 2012). 3.2. STUDY SETTING The study was conducted at Mugana Designated District Hospital, Missenyi District in Kagera Region. Mugana DDH is the referral hospital for Missenyi district apart from being referral district hospital it receives patients and clients from a nearby country like Uganda also nearby regions like Mwanza, Geita, and Shinyanga due to its quality services both in maternal and medical care. The hospital has various departments and it has a bed capacity of 140 beds. Labor ward has 7 delivery beds with a total of 120 deliveries per month. About 40 pregnant women attend an antenatal clinic for check-ups per month whereas about 65 mothers attend a postnatal clinic for postnatal checkups. Staffing level at maternity is 36. 30 midwife works at the maternity ward and 6 midwives at RCH
The present study contains a correlational study design as well as a between-subject design. A correlational study design will allow the researchers to adequately answer the first research question. The correlational study design allows the researchers to identify and interpret any correlational trends regarding mental health effects and the success of transitioning amongst the participants. The dependent variable of the first research question includes the success of transitioning (employment, education, residential status, and communication after high school) and mental health (depression/anxiety, sleep, obesity, and physical activity). There is no independent variable in the first research question due to the correlational design. A between-subject design will allow the researchers to effectively answer the second research question. This type of design matches participants based on a related variable; groups with or without employment to further examine any differences that may exist between the two groups. The dependent variable of the second research question is the level of mental health. The independent variable of this study is the two groups that the researchers are exploring: employment group vs. non-employment group.
This essay demonstrates significant factors, a midwife and the women may face within Australian public hospitals. As a midwife the key skills are understanding of what supports and impacts the normal physiological process of labour and birth. This essay will discuss two influencing factors that have a negative effect on the normal progress of labour and birth. This will be seen, firstly by discussing the cultural and environmental impacts of labour and birth. Then, examining how the midwife may best support and facilitate the adverse effects of normal physiological process. This essay also discusses a positive labour and birth environment within the Australian standard model of care.
The National Institute for Health and Clinical Excellence (NICE, 2007) Intrapartum guidelines state that during the first stage of labour women should be encouraged to adopt the position they feel most comfortable in. This is what the student was trying to encourage even though her mentor did not.There are various positions the woman can adopt in labour which are generally grouped into upright and recumbent. The positions classed as upright are; standing, walking, kneeling, squatting, on all fours and sitting, and the recumbent position could include; supine, lithotomy, semi-recumbent or side lying (Johnson and Taylor, 2011). The upright position appeared to be more beneficial in Sarah’s case and the author wants to determine if this is always the case. It is evident that sometimes there will be constraints such as continuous fetal monitoring but it is important that the midwife does
For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in
A single-subject design of research was utilized. This research design is a prevailing and practical tool that is applicable for assessing interventions with the participant seeking specific habitual behavioral changes under a given set of circumstances (monitoring SSB intake). The design involves a AB structure, where “A” is the baseline (regular daily SSB consumption) phase and “B” refers to intervention phase (limiting SSB intake). Outcome was recorded during both phases, which made it easier to understand because it showed (intake) what happened on a day-to-day basis. Baseline data will be collected daily at the home (setting) of the participant for one week and entered into a questionnaire and chart at the end of the week. The following week the participant did the same thing, but only this time SSB intake was monitored daily to see if limits could be put on consumption, the behavior the participant wanted to change.
Within this study the subjects or participants were protected by agreeing to do the study and giving consent to be transitioned from the hospital to the skilled nursing facility. There were not any risks to the participants in the study since it was an observational study. All of the research and data was taken from the observation of the transition and the evidence that discharge instructions from the hospital dictated the process. If any patient information was missing it from the discharge instructions it potentially caused consequences and delayed patient centered care. Although there was not any potential harm to patients the nurses that participated in the study were paid thirty dollars an hour, which may have caused to study to not be completely accurate. In order to see how nurses truly transition patients and deal with the barriers involved in the process there should not have been an incentive to provide better care.
In the following question which is about to explain why scientific methodology is crucial to psychology, I am going to consider what psychology exactly is and why is crucial scientific methodology to this process.
Object: The purpose of this study was to evaluate the operative details, perioperative complications, and short-term outcomes associated with Combined Anterior-Posterior Decompression and Fusion (CAPDF) for treating Cervical Spondylotic Myelopathy (CSM).
Across the enormous continent of Africa, there are a myriad of birth practices, customs, and traditions. From spiritual ceremonies, consumption of certain fruits, blessing ways to having supportive birthing assistants are some of the very common and important customs from African countries, especially Ghana. One of the oldest and most widely recognized customs is midwifery. Midwifery is the act of assisting women and their families before, during, and after childbirth. Moreover, some midwives also perform abortions and aid in post abortion care
In Goer, Henci (1995) book “Obstetric Myths Vs Research Realities” the author reveals the roles of midwives in women delivery and how different it from the roles of an Obstetrician in a hospital setting. According to the author the midwifery attitude towards child birth is that of the mother being the “central role” in the whole scenario of child birth. The mother is the maestro in the orchestra and the midwife job is nothing less than support and guidance. The midwifery view is more of “empowering” the mother in leading the child delivery process. According to the author treatment starts with what the mother can do i.e. the mother’s potential powers and this compliments the midwifery practice. On the other hand, the author sees the medical approach to delivery very much opposite to what has been discussed as that of midwifery approach. The obstetrician sees the mother as incapable of making sound decisions on behalf of herself due to the enormous stressful situation she is going through. The author sees that the medical approach strips mother of her power to deliver naturally and that obgyn is obligated to intervene as baby delivery is a medical procedure and requires medical attention. Here the approaches are very different especially when it comes to providing care, where medical approach is more focused on medication for treating pain while midwives see that medication is “too risky and unnecessary” while alternative treatments do exist and help the mother a great deal.
The implementation of this routine tradition has been linked to a lack of education of the nurses of the various benefits of upright birthing positions and thus deficient knowledge of the mothers on their different options for positioning during delivery. Furthermore, research has determined that upright positions for delivery, such as squatting and sitting, yield more positive outcomes physically and psychologically for the mother and the baby than gravity-neutral supine positions. Nurses and other obstetric medical professionals are reluctant to “change their ways” of practice because of barriers to obtaining such knowledge related to their scope of practice. It is the job of the nursing managers on the unit to educate their floor nurses on the benefits of upright delivery positions and the more detrimental effects of supine delivery positions so their patients can have full knowledge and control of the birthing process when deciding on a birthing position as to achieve the most optimal delivery experience as possible.
The majority of the women in this world will give birth to a child a least once in their life. We expect that whatever hospital or provider we go to will treat us with the best care they can no matter what the circumstance. This is not true for all parts of the world though. The article “To Open Oneself Is a Poor Woman’s Trouble: Embodied Inequality and Childbirth in South–Central Tanzania” indicated different stories of the process of childbirth for several women in South-Central Tanzania. Spangler performed this research to determine the difference in childbirth health care providers and the cost element of childbirth. The research Spangler did involved several different woman: Asha, Sakina, Zamda, and Tausi. Spangler used participant
Across the enormous continent of Africa, there are a myriad of birth practices, customs, and traditions. From spiritual ceremonies, consumption of certain fruits, blessing ways to having supportive birthing assistants are some of the very common and important customs from African countries, especially Ghana. One of the oldest and most widely recognized customs is midwifery. Midwifery is the act of assisting women and their families before, during, and after childbirth. Moreover, some midwives also perform abortions and aid in post abortion care
Before I read Giving Birth the American Way, I knew about other cultures where women give birth standing up and in other positions. Working in the medical field and in women’s health, I have gained some insight to OB/GYN birthing processes, and when I have children I would like to take a holistic approach to birthing like standing or squatting and not being forced to take all of the additional medicines that hospitals want patients to take. There are more holistic facilities to assist women in having a more natural birthing experience so mothers can focus on the birth of children and not all the extra equipment or medicines. Reading the article “Giving Birth in the American Way”, the author’s point of view of the mother being symbolically attached
The purpose of this paper is to explore the relationship between the role of the labor and delivery nurse to the “maternal role attainment - becoming a mother” model. The model (MRA) was proposed by nursing theorist Ramona T. Mercer in 1991 to guide nurses in implementing the nursing process while providing care to the non-traditional mother. Revised in 1995 to “Becoming a Mother”, this model soon proved useful for nurses to access, concentrate on, and attend to the needs of all new mothers. New mothers experience various stressors such as an ill infant, their own health, financial strains, and postpartum depression. This model is evidenced- based and incorporates the four global nursing concepts into it. The importance of this model is the provisions it makes for mother-infant bonding that affects the health and development of individuals and families throughout the lifespan (Role Attainment, 2005). For the professional nurse in labor and delivery, the model has significant use aiding the impact that labor and delivery nurses have on new mothers perceiving and attaining their maternal role.