Document Detail

Childbirth information needs for first time Malawian mothers who attended antenatal clinics.
MedLine Citation:
PMID:  23074811     Owner:  NLM     Status:  MEDLINE    
AIM: The specific objective of the study was to identify childbirth information needs of Malawian women as perceived by Malawian mothers and midwives in order to design a childbirth education program.
METHODS: An exploratory, descriptive qualitative design was used to determine Malawian women's childbirth information needs. A total of 150 first time mothers who attended antenatal clinics at selected central, district and mission hospitals were interviewed. Four focus group discussions were conducted with four different types of midwives to identify their perceptions of the childbirth information needs of Malawian women. These discussions were complimented by individual interviews with experienced midwives who held key positions in government and non governmental health organizations.
RESULTS: The content of the childbirth education program for pregnant mothers should include; care during pregnancy, danger signs during pregnancy, labor and after birth, the labor process and the postnatal care for the mother and the baby. Regarding cultural beliefs and taboos of childbirth, it was recommended that they should not be presented as a stand alone topic but be incorporated in other topics such as self care. Cultural beliefs and taboos vary with regions and tribes hence rather than generalizing, midwives should address specific issues prevalent in their work areas. The training manual should be translated into the vernacular language in view of the high illiteracy rate in the country.
CONCLUSION: The education program should address self-care during pregnancy, nutrition during pregnancy, common discomforts of pregnancy, danger signs of pregnancy, sexually transmitted diseases and preparation for delivery. The program should also address the labor process, possible complications during labor and birth, caesarean birth and non pharmaceutical pain relief measures in labor. It was also evident that the program should deal with self-care during postnatal period, exclusive breast feeding, care of the newborn baby, danger signs of puerperium, care of the newborn baby and family planning.
Address Malata; Ellen Chirwa
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Malawi medical journal : the journal of Medical Association of Malawi     Volume:  23     ISSN:  1995-7262     ISO Abbreviation:  Malawi Med J     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2012-10-18     Completed Date:  2012-11-13     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  9500170     Medline TA:  Malawi Med J     Country:  Malawi    
Other Details:
Languages:  eng     Pagination:  43-7     Citation Subset:  IM    
Kamuzu College of Nursing, University of Malawi, P/Bag 1, Lilongwe.
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MeSH Terms
Ambulatory Care Facilities
Focus Groups
Health Knowledge, Attitudes, Practice*
Health Services Needs and Demand
Infant, Newborn
Information Dissemination*
Maternal Health Services / organization & administration
Mothers / education*,  psychology*
Parturition / psychology
Patient Education as Topic / organization & administration
Patient Satisfaction
Prenatal Care / methods*,  organization & administration
Program Development
Qualitative Research
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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