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Developing a theoretical framework on postpartum care from Tanzanian midwives' views on their role
Helen I Lugina1, Eva Johansson, Gunilla Lindmark
1Faculty of Nursing, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania. Hlugina@muchs.ac.tz
Midwifery
|April 12, 2002
Summary
Midwives developed a framework for systematic postpartum care, emphasizing reflection, integration, and self-awareness to provide quality support. This framework aids in understanding work dynamics and improving postpartum care delivery.
Area of Science:
- Maternal Health
- Nursing and Midwifery
- Health Systems Research
Background:
- Systematic postpartum care is crucial for maternal well-being.
- Existing frameworks may not fully capture the complexities of midwife practice in this area.
Purpose of the Study:
- To describe a theoretical framework for systematic postpartum care, derived from midwives' perspectives.
- To understand the essential components and processes involved in providing effective postpartum support.
Main Methods:
- Qualitative focus group study employing a grounded theory approach.
- Conducted in Dar es Salaam, Tanzania, with 49 nurse-midwives.
- Utilized five focus group discussions with 9-11 participants each.
Main Results:
- The core process identified is 'Becoming a good resource and support person for the postpartum woman'.
- Key components include 'reflection', 'integration', 'networking', 'balancing', 'dealing with reality', and 'defining abilities'.
- The outcome of 'caring' leads to 'doing things in the right way', signifying quality postpartum care.
Conclusions:
- The developed theoretical framework enhances understanding of midwife work dynamics.
- It supports midwives in becoming effective resource and support persons for postpartum women.
- Interventions should address framework components, theory-practice gaps, empowerment, policy involvement, and stress management.