• African health sciences · Mar 2021

    Midwives' challenges in the management of postpartum haemorrhage at rural PHC facilities of Limpopo province, South Africa: an explorative study.

    • Thifhelimbilu Irene Ramavhoya, Maria Sonto Maputle, Rachel Tsakani Lebese, and Lufuno Makhado.
    • Department of Nursing Sciences, Faculty of Health Sciences, University of Pretoria, South Africa.
    • Afr Health Sci. 2021 Mar 1; 21 (1): 311319311-319.

    BackgroundPostpartum haemorrhage is one of the causes of the rise in maternal mortality. Midwives' experiences related to postpartum haemorrhage (PPH) management remain unexplored, especially in Limpopo. The purpose of the study was to explore the challenges experienced by midwives in the management of women with PPH.MethodsQualitative research was conducted to explore the challenges experienced by midwives in the management of women with PPH. Midwives were sampled purposefully. Unstructured interviews were conducted on 18 midwives working at primary health care facilities. Data were analysed after data saturation.ResultsAfter data analysis, one theme emerged "challenges experienced by midwives managing women with PPH" and five subthemes, including: "difficulty experienced resulting in feelings of frustrations and confusion and lack of time and shortage of human resource inhibits guidelines consultation".ConclusionThe study findings revealed that midwives experienced difficulty when managing women with postpartum haemorrhage. For successful implementation of maternal health care guidelines, midwives should be capacitated through training, supported and supervised in order to execute PPH management with ease.© 2021 Ramavhoya TI et al.

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