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Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa

BACKGROUND: Inadequate neonatal facilities in rural areas is one of the challenges affecting the management of preterm infants. In low income countries with limited resources, over 90% of preterm babies die within few days of life. PURPOSE: The purpose of this study was to describe the challenges en...

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Autores principales: Mahwasane, Thendo, Maputle, Maria S., Simane-Netshisaulu, Khathutshelo G., Malwela, Thivhulawi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006596/
https://www.ncbi.nlm.nih.gov/pubmed/32064228
http://dx.doi.org/10.5334/aogh.2555
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author Mahwasane, Thendo
Maputle, Maria S.
Simane-Netshisaulu, Khathutshelo G.
Malwela, Thivhulawi
author_facet Mahwasane, Thendo
Maputle, Maria S.
Simane-Netshisaulu, Khathutshelo G.
Malwela, Thivhulawi
author_sort Mahwasane, Thendo
collection PubMed
description BACKGROUND: Inadequate neonatal facilities in rural areas is one of the challenges affecting the management of preterm infants. In low income countries with limited resources, over 90% of preterm babies die within few days of life. PURPOSE: The purpose of this study was to describe the challenges encountered by midwives when providing care to preterm infants at resource limited health facilities in Limpopo Province, South Africa. METHODS: Qualitative research approach, using exploratory and descriptive design was used. Non-probability purposive sampling was used to select twenty three midwives who had an experience of two or more years in maternity. Data was collected using unstructured individual interviews, which were voice recorded and transcribed and data analysed qualitatively through the open-coding method. FINDINGS: Revealed one theme, preterm condition and expected care; with sub-themes namely; perceived causes of preterm complications and deaths, preterm babies experience several difficulties which need specialised care, the need for constant individualised care and monitoring of preterm infants by midwives, functional relevant equipment needed for care of preterm infants, a need for constant training for midwives regarding care of preterm infants, and importance for a proper structure to house preterm infants which will lead to quality care provision. CONCLUSION: Preterm babies need simple essential care such as warmth, feeding support, safe oxygen use and prevention of infection. Lack of adequate resources and limited skills from midwives could contribute to morbidity and mortality. Health facility managers need to create opportunities for basic and advanced preterm care to equip the skills of midwives by sending them to special trainings such as Limpopo Initiative Neonatal Care (LINC), Helping Baby Breath (HHB) and Neonatal Intensive Care Unit (NICU). Operational managers should be involved in the identification, procurement and supply of required equipment. Continuous health education should be provided on the mothers about kangaroo mother care (KMC) and measures to prevent infections in the neonatal unit.
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spelling pubmed-70065962020-02-14 Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa Mahwasane, Thendo Maputle, Maria S. Simane-Netshisaulu, Khathutshelo G. Malwela, Thivhulawi Ann Glob Health Original Research BACKGROUND: Inadequate neonatal facilities in rural areas is one of the challenges affecting the management of preterm infants. In low income countries with limited resources, over 90% of preterm babies die within few days of life. PURPOSE: The purpose of this study was to describe the challenges encountered by midwives when providing care to preterm infants at resource limited health facilities in Limpopo Province, South Africa. METHODS: Qualitative research approach, using exploratory and descriptive design was used. Non-probability purposive sampling was used to select twenty three midwives who had an experience of two or more years in maternity. Data was collected using unstructured individual interviews, which were voice recorded and transcribed and data analysed qualitatively through the open-coding method. FINDINGS: Revealed one theme, preterm condition and expected care; with sub-themes namely; perceived causes of preterm complications and deaths, preterm babies experience several difficulties which need specialised care, the need for constant individualised care and monitoring of preterm infants by midwives, functional relevant equipment needed for care of preterm infants, a need for constant training for midwives regarding care of preterm infants, and importance for a proper structure to house preterm infants which will lead to quality care provision. CONCLUSION: Preterm babies need simple essential care such as warmth, feeding support, safe oxygen use and prevention of infection. Lack of adequate resources and limited skills from midwives could contribute to morbidity and mortality. Health facility managers need to create opportunities for basic and advanced preterm care to equip the skills of midwives by sending them to special trainings such as Limpopo Initiative Neonatal Care (LINC), Helping Baby Breath (HHB) and Neonatal Intensive Care Unit (NICU). Operational managers should be involved in the identification, procurement and supply of required equipment. Continuous health education should be provided on the mothers about kangaroo mother care (KMC) and measures to prevent infections in the neonatal unit. Ubiquity Press 2020-02-03 /pmc/articles/PMC7006596/ /pubmed/32064228 http://dx.doi.org/10.5334/aogh.2555 Text en Copyright: © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
Mahwasane, Thendo
Maputle, Maria S.
Simane-Netshisaulu, Khathutshelo G.
Malwela, Thivhulawi
Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_full Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_fullStr Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_full_unstemmed Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_short Provision of Care to Preterm Infants at Resource Limited Health Facilities of Mopani District, South Africa
title_sort provision of care to preterm infants at resource limited health facilities of mopani district, south africa
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006596/
https://www.ncbi.nlm.nih.gov/pubmed/32064228
http://dx.doi.org/10.5334/aogh.2555
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