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Tanzanian midwives' clinical practices and experiences in caring for women with antepartum hemorrhage: a critical incident technique study
Catholic Univ Hlth & Allied Sci, Tanzania;Jönköping University, Sweden.
University of Skövde, Sweden;Univ Queensland, Australia.
Jönköping University, Sweden.
Catholic Univ Hlth & Allied Sci, Tanzania.
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2024 (English)In: BMC Pregnancy and Childbirth, E-ISSN 1471-2393, Vol. 24, no 1, article id 613Article in journal (Refereed) Published
Abstract [en]

Background

Antepartum hemorrhage (APH) is an obstetric emergency that complicates pregnancy worldwide and continues to lead to hemorrhagic conditions in parts of Tanzania. Midwifery education received by midwives consists theoretical knowledge on the subject but with no or minimal practical skills in the laboratory, which may reduce their practical capacity as graduated midwives. This study therefore aimed to explore midwives' clinical actions and experiences regarding the care of women with APH in Mwanza region.

Method

Qualitative, inductive approach with critical incident technique was used. Data were analysed using the critical incident technique, and a question guide consisting of eleven open-ended questions was used to collect data from 44 out of 60 midwives who graduated not less than one year. A total of 522 critical incidents, with 199 actions and 323 experiences, were identified and categorized into five main areas. Ethical approval was obtained.

Results

Midwives' clinical actions and experiences in caring for women with APH are affected by the knowledge and skills obtained during training at school. They have insufficient theoretical knowledge and practical skills, leading to inadequate identification of the problem and the implementation of care. A need for additional preventive care is described and structural issues, such as co-operation, referral to other instances, access to equipment and relevant treatments need to be improved.

Conclusion

The actions taken to provide care for women with APH were related to their ability to identify problems, implement care and carry out structural initiatives. However, the midwives' experience was influenced by an attempt to understand the seriousness of the situation and the existence of an organizational challenge. The results can provide knowledge and tools to improve midwives' education and clinical practice and in the long run, prevent complications, improves health and minimize suffering in women with APH.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024. Vol. 24, no 1, article id 613
Keywords [en]
Midwives, Midwifery, Critical incident technique, Clinical practices, Care of woman, Antepartum hemorrhage, Experiences, Caring
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-132913DOI: 10.1186/s12884-024-06802-7ISI: 001318493800001PubMedID: 39313820Scopus ID: 2-s2.0-85204887999OAI: oai:DiVA.org:lnu-132913DiVA, id: diva2:1904004
Available from: 2024-10-08 Created: 2024-10-08 Last updated: 2024-10-28Bibliographically approved

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Knutsson, Susanne

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