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A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi

OBJECTIVES: This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation. METHODS: We purposively recruited 18 primigravid women into in-depth interviews, 21 birth companions, and 13 health workers into focus group...

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Autores principales: Munkhondya, Berlington M.J., Munkhondya, Tiwonge Ethel, Msiska, Gladys, Kabuluzi, Ezereth, Yao, Juqin, Wang, Honghong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chinese Nursing Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424161/
https://www.ncbi.nlm.nih.gov/pubmed/32817853
http://dx.doi.org/10.1016/j.ijnss.2020.05.003
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author Munkhondya, Berlington M.J.
Munkhondya, Tiwonge Ethel
Msiska, Gladys
Kabuluzi, Ezereth
Yao, Juqin
Wang, Honghong
author_facet Munkhondya, Berlington M.J.
Munkhondya, Tiwonge Ethel
Msiska, Gladys
Kabuluzi, Ezereth
Yao, Juqin
Wang, Honghong
author_sort Munkhondya, Berlington M.J.
collection PubMed
description OBJECTIVES: This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation. METHODS: We purposively recruited 18 primigravid women into in-depth interviews, 21 birth companions, and 13 health workers into focus group discussions. Participants were recruited from two community hospitals’ maternity waiting homes in Lilongwe, Malawi. Semi-structured interview guides were used to collect data that were analyzed using content analysis. NVivo11 computer software was used to organize the data. RESULTS: The four categories developed were: “ambivalent pregnancy feelings” , “dependence on traditional childbirth counseling” ,“inadequate prenatal childbirth instruction” and “inconsistent roles of a birth companion” . The findings suggest that primigravid women who were mainly exposed to traditional childbirth mentoring rather than professional care providers, experienced childbirth fear, and lacked proper psychosocial childbirth preparation. CONCLUSIONS: Childbirth fear among primigravid women emanate from personal; family; ineffective traditional counseling; and inadequate antenatal childbirth instruction. Birth companions may increase childbirth stress. However, our findings highlight birth companions as readily available psychosocial support resources among primigravid women. We recommend that professional childbirth instruction during antenatal care should be strengthened to surpass traditional childbirth counseling. Appropriateness and effectiveness of birth companions need to be carefully assessed.
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spelling pubmed-74241612020-08-16 A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi Munkhondya, Berlington M.J. Munkhondya, Tiwonge Ethel Msiska, Gladys Kabuluzi, Ezereth Yao, Juqin Wang, Honghong Int J Nurs Sci Original Article OBJECTIVES: This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation. METHODS: We purposively recruited 18 primigravid women into in-depth interviews, 21 birth companions, and 13 health workers into focus group discussions. Participants were recruited from two community hospitals’ maternity waiting homes in Lilongwe, Malawi. Semi-structured interview guides were used to collect data that were analyzed using content analysis. NVivo11 computer software was used to organize the data. RESULTS: The four categories developed were: “ambivalent pregnancy feelings” , “dependence on traditional childbirth counseling” ,“inadequate prenatal childbirth instruction” and “inconsistent roles of a birth companion” . The findings suggest that primigravid women who were mainly exposed to traditional childbirth mentoring rather than professional care providers, experienced childbirth fear, and lacked proper psychosocial childbirth preparation. CONCLUSIONS: Childbirth fear among primigravid women emanate from personal; family; ineffective traditional counseling; and inadequate antenatal childbirth instruction. Birth companions may increase childbirth stress. However, our findings highlight birth companions as readily available psychosocial support resources among primigravid women. We recommend that professional childbirth instruction during antenatal care should be strengthened to surpass traditional childbirth counseling. Appropriateness and effectiveness of birth companions need to be carefully assessed. Chinese Nursing Association 2020-05-19 /pmc/articles/PMC7424161/ /pubmed/32817853 http://dx.doi.org/10.1016/j.ijnss.2020.05.003 Text en © 2020 The authors. Published by Elsevier B.V. on behalf of the Chinese Nursing Association. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Munkhondya, Berlington M.J.
Munkhondya, Tiwonge Ethel
Msiska, Gladys
Kabuluzi, Ezereth
Yao, Juqin
Wang, Honghong
A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi
title A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi
title_full A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi
title_fullStr A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi
title_full_unstemmed A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi
title_short A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi
title_sort qualitative study of childbirth fear and preparation among primigravid women: the blind spot of antenatal care in lilongwe, malawi
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424161/
https://www.ncbi.nlm.nih.gov/pubmed/32817853
http://dx.doi.org/10.1016/j.ijnss.2020.05.003
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