FACTORS INFLUENCING EFFECTIVE CONSULTATION OF ADVANCED MIDWIVES BY GENERAL MIDWIVES IN NELSON MANDELA BAY OBSTETRIC UNITS

Authors

  • Balandeli Siphumelele Israel Sonti Nelson Mandela Metropolitan University
  • Sindiwe James Nelson Mandela Metropolitan University

DOI:

https://doi.org/10.25159/2520-5293/169

Abstract

South Africa has a growing number of perinatal and maternal deaths and, despite this challenge, advanced midwives are still not always adequately consulted by the general midwives on duty. As a result, pregnant and labouring women remain at risk. The aim of this study was to describe factors influencing effective consultation of advanced midwives by general midwives practising in the obstetric units in the Nelson Mandela Bay. A quantitative research approach founded on a descriptive design was used. The data collection tool was a self-administered questionnaire. Data was collected between July and September 2013 from practising midwives in Nelson Mandela Bay obstetric units. To ensure reliability of the questionnaire responses, Cronbach’s alpha was used. The study found that the advanced midwives are not being consulted by general midwives because they are perceived as lacking the advanced skills of specialist midwives. Based on the findings, recommendations were made to assist practising midwives to use the skills of the advanced midwives and limit the delays in referrals and decision-making in the management of high-risk pregnant women in confinement.

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Author Biography

Balandeli Siphumelele Israel Sonti, Nelson Mandela Metropolitan University

Associate Lecturer

NMMU, Faculty of Health Sciences

School of Clinical Care Sciences

Department of Nursing Science

References

Bedwell, L., Wilman, L., DiazGranados, D., Salazar, M., Kramer, S. & Salas, E. 2012. Collaboration at work: an intergrative multilevel conceptualization. Human Resource Management Review 22:128–145.

Botma, Y., Greef, M., Mulaudzi, F.M. & Wright, S.C.D. 2010. Research in health sciences. Cape Town: Heinemann.

Bowling, A. 2009. Research methods in health investigating health and health services. 3rd edition. Berkshire: McGraw-Hill.

Oxford University Press. 2012. In Oxford Online Dictionary. http://www.oxforddictionaries.com/definition/english/consult (Accessed 24 September 2012).

Cronje, H.S. & Grobler, C.J.F. 2006. Obstetrics in southern Africa. Paarl: Van Schaik.

Cronje, H.S. & Grobler, C.J.F. 2009. Obstetrics in southern Africa. Paarl: Van Schaik.

Department of Health. 2007. Guidelines for maternity care in South Africa. Pretoria: Department of Health.

Department of Health. 2010. Seventh report on perinatal care in South Africa: 2008–2009. Pretoria: Department of Health.

Department of Health. 2011. Fifth report on confidential enquiries into maternal deaths in South Africa: 2008–2010. Pretoria: Department of Health.

Dippenaar, J. & Da Serra, D. 2013. Seller’s midwifery. 2nd Edition. Lansdowne: Juta.

Fraser, D.M., Cooper, M.A. & Nolte, A.G.W. 2010. Myles Textbook for midwives. African Edition. 2nd Edition. Churchill Livingstone: Elsevier.

Lesia, N.G. & Roets, L. 2013. The utilisation of advanced midwives in the Free State Province of South Africa. Africa Journal of Nursing and Midwifery 15(2):45–58.

Louw, D.A. & Edwards, D.J.A. 2009. Psychology. an introduction for students in southern Africa. 2nd Edition. Sandton: Heinemann.

Majoko, F., Nylstrom, L., Munjanja, S.P. & Lindmark, G. 2005. Effectiveness of referral system for antenatal and intra-partum problems in Gutu district, Zimbabwe. Journal of Obstetrics and Gynaecology 25:656–661.

Mthetwa, R.B. 2006. The factors determining the under-utilization of Maternity Obstetric Units within the Sedibeng District. Unpublished mini thesis submitted in partial fulfilment of the requirements for the Master of Arts in the subject of Health Studies, Pretoria, University of South Africa.

Mulondo,S.A, Khoza, L.B. & Risenga, R.P. 2013. Competence of midwives with regard to the prevention of low Apgar scores among neonates. International Journal of Research in Medical and Health Sciences 3(3):1–14.

Pasquier, J., Rabilloud, M., Janody, G., Abbas-Chorfa, F., Ecochard, R. & Mellier, G. 2005. Influence of perinatal care regionalisation on the referral patterns of intermediate- and high-risk pregnancies. European Journal of Obstetrics and Gynecology and Reproductive biology 120:152–157.

Rycroft-Malone, J., Fontenla, M., Bick, D. & Seers, K. 2008. Protocol-based care: impact on roles and service delivery. Journal of Evaluation in Clinical Practice 14(5):867–873.

Searle, C., Human, S. & Mogotlane, S.M. 2009. Professional practice – a South African nursing perspective. 5th edition. Sandton: Heinemann.

Sellers, P.M. 2007. Midwifery Volume 1. 9th edition. Lansdowne: Juta.

South African Nursing Council. 1997. Government notice No. R212 as amended by R74. Pretoria: Government Printer.

South African Nursing Council. 1988. Government notice No. R425 as amended by R753. Pretoria: Government Printer.

South African Nursing Council. 1984. (Government notice No.R2598 as amended by R260, 15 February: 1991). Pretoria: Government Printer.

South African Nursing Council.1985 (Government notice No.R387 as amended by R2490, 26 October: 1990). Pretoria: Government Printer.

Temane A.M., Poggenpoel, M., Myburgh, C.P.H. 2014. ‘Advanced psychiatric nurse practitioners’ ideas and needs for supervision in private practice in South Africa’. Curationis 37(1), Art. #1161, 9 pages. http://dx.doi.org/10.4102/curationis.v37i1.1161 (Accessed 12th October 2014).

The Nursing Act 33 of 2005 (as amended), 2005. Government Gazette. Pretoria: Government Printer.

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Published

2015-07-27

How to Cite

Sonti, Balandeli Siphumelele Israel, and Sindiwe James. 2015. “FACTORS INFLUENCING EFFECTIVE CONSULTATION OF ADVANCED MIDWIVES BY GENERAL MIDWIVES IN NELSON MANDELA BAY OBSTETRIC UNITS”. Africa Journal of Nursing and Midwifery 17 (1):133-46. https://doi.org/10.25159/2520-5293/169.

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Articles
Received 2015-05-04
Accepted 2015-05-07
Published 2015-07-27