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A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa

Thesis (PhD)--University of Pretoria, 2012.

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Other Authors: Mulaudzi, Fhumulani Mavis
Format: Thesis
Language:English
Published: University of Pretoria 2013
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access_status_str Open Access
author2 Mulaudzi, Fhumulani Mavis
author_browse Mulaudzi, Fhumulani Mavis
author_facet Mulaudzi, Fhumulani Mavis
collection Thesis
dc_rights_str_mv © 2012 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Thesis (PhD)--University of Pretoria, 2012.
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institution University of Pretoria (South Africa)
language English
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license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
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publisher University of Pretoria
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spelling oai:repository.up.ac.za:2263/30768 A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa Mulaudzi, Fhumulani Mavis roinah.ngunyulu@up.ac.za Peu, Mmapheko Doriccah Ngunyulu, Roinah Nkhensani Midwifery healthcare system Increasing maternal mortality rate Indigenous postnatal care Postnatal complications UCTD Thesis (PhD)--University of Pretoria, 2012. Model development for incorporating “indigenous” postnatal care into a midwifery healthcare system is of utmost importance in ensuring the provision of culturally congruent care. There has been only limited evidence of the availability of a model which addresses “indigenous” postnatal care practices in midwifery health care systems. As a result, the nurses operate from a modern healthcare point of view only, rather than combining the two worldviews. The main aim of the study was to develop a model for incorporating “indigenous” postnatal care practices into the midwifery health care system in Mopani District, Limpopo Province of South Africa. The study was conducted in three phases. During the first phase the meaning of the concept “incorporation” was analysed. The results guided the researcher during data collection in the second phase, consisting of in-depth individual and focus group interviews to explore the experiences and perceptions of postnatal patients, family members, traditional birth attendants, registered midwives, Midwifery lecturers and the maternal and child healthcare coordinators. The findings confirmed that currently the “indigenous” postnatal care practices are not incorporated in the Midwifery curriculum, books or guidelines for maternity care. As a result there is lack of knowledge amongst midwives regarding the “indigenous” postnatal care practices and it is difficult for them to provide culturally congruent care. Due to inadequate knowledge midwives are displaying negative attitudes towards the family members, traditional birth attendants and patients from diverse cultures. The participants confirmed that there is no teamwork between the registered midwives and the traditional birth attendants (family members). The study findings also confirmed that currently there are no follow-up visits by the midwives for patients during the postnatal period. The midwives are imposing their health beliefs an practices onto the patients on discharge after delivery, without the involvement of the family members or the traditional birth attendants, resulting in sub-standard postnatal care, leading to postnatal complications and an increasing maternal mortality rate. Based on the findings of phases one and two, a model for incorporating “indigenous” postnatal care practices into a midwifery healthcare system was developed and described. The implications for further studies suggested the evaluation and implementation of the model in the healthcare institutions, nursing colleges, clinics and hospitals as an initial step to assist the Department of Health in Limpopo Province in incorporating “indigenous” practices into healthcare systems. Nursing Science unrestricted 2013-09-09T07:29:55Z 2013-04-25 2013-09-09T07:29:55Z 2013-04-12 2012 2013-04-24 Thesis Ngunyulu, RN 2012, A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa, PhD thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/30768> D13/4/413/ag http://hdl.handle.net/2263/30768 http://upetd.up.ac.za/thesis/available/etd-04242013-174741/ en © 2012 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria
spellingShingle Midwifery healthcare system
Increasing maternal mortality rate
Indigenous postnatal care
Postnatal complications
UCTD
A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa
title A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa
title_full A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa
title_fullStr A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa
title_full_unstemmed A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa
title_short A model for incorporating “indigenous” postnatal care practices into the midwifery healthcare system in Mopani district, Limpopo Province, South Africa
title_sort model for incorporating indigenous postnatal care practices into the midwifery healthcare system in mopani district limpopo province south africa
topic Midwifery healthcare system
Increasing maternal mortality rate
Indigenous postnatal care
Postnatal complications
UCTD
url http://hdl.handle.net/2263/30768
http://upetd.up.ac.za/thesis/available/etd-04242013-174741/