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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Chinese Nursing Association
2020
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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. |
format | Online Article Text |
id | pubmed-7424161 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Chinese Nursing Association |
record_format | MEDLINE/PubMed |
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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