Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Reasons for late initiation of antenatal care among pregnant women in Tshwane : a Narrative inquiry
Dissertation (MCur)--University of Pretoria, 2018.
Saved in:
| Other Authors: | |
|---|---|
| Format: | Thesis |
| Language: | English |
| Published: |
University of Pretoria
2018
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613657116966912 |
|---|---|
| access_status_str | Open Access |
| author2 | Filmalter, Cecilia Jacoba |
| author_browse | Filmalter, Cecilia Jacoba |
| author_facet | Filmalter, Cecilia Jacoba |
| collection | Thesis |
| dc_rights_str_mv | © 2018 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 | Dissertation (MCur)--University of Pretoria, 2018. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/67905 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:39:37.287Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/67905 Reasons for late initiation of antenatal care among pregnant women in Tshwane : a Narrative inquiry Filmalter, Cecilia Jacoba eunice.sihlangu@gmail.com Moloko-Phiri, Seepaneng Salaminah Sihlangu, Eunice Balefetsie Unrestricted UCTD SDG-03: Good health and well-being SDG-17: Partnerships for the goals Dissertation (MCur)--University of Pretoria, 2018. Background The incidence of late initiation of antenatal care in South Africa remains high, despite the reported benefits of early initiation of antenatal care and free antenatal care services since 1994. Antenatal care is a crucial strategy to reduce maternal and perinatal morbidity and mortality. Whenever antenatal care is initiated late, the opportunity to prevent, detect and treat pre-existing medical conditions and pregnancy-related complications becomes limited hence contributing to maternal and perinatal mortality. Aim of the study The study aimed to explore and describe the reasons for late initiation of antenatal care among pregnant women at a selected community health centre in Tshwane. Research design and method A narrative inquiry was conducted. Participants belonged to the same community. Data was collected using semi-structured interviews among ten pregnant women who initiated antenatal care after 20 weeks of gestational age at the selected community health centre. Interviews were recorded, transcribed, and analysed according to thematic analysis. Results Individual stories were analysed to get the content of their accounts, then the meaning of all the stories was collated to bring about the broad story of the reasons contributing to the late initiation of ANC. Four central themes and ten sub-themes were identified. These are namely unplanned pregnancy (unaware of pregnancy, contraceptive failure), work circumstances (lack of opportunity to attend ANC and stress from work), dilemma of reporting (fear of reporting and embarrassment) and service delivery issues (pregnancy confirmed somewhere else, service delivery flow, shortage of staff and misdiagnosis of pregnancy). Conclusion Regarding the ANC received, participants were satisfied. None complained about nurses’ attitudes. The need for women empowerment concerning their reproductive health and rights is very fundamental. There is a great need for motivating the use of Long Acting Reversible Contraceptives among women in their reproductive ages, to prevent unplanned pregnancies. ANC services should be extended to after hours and weekends to reach women struggling with socioeconomic circumstances or disadvantages. Lastly, there should be regular reinforcement and monitoring the implementation of existing policies to improve quality care. em2026 Nursing Science MCur Unrestricted SDG-03: Good health and well-being SDG-17: Partnerships for the goals 2018-12-05T08:05:54Z 2018-12-05T08:05:54Z 2009/08/18 2018 Dissertation Sihlangu, EB 2018, Reasons for late initiation of antenatal care among pregnant women in Tshwane: A Narrative inquiry, MCur Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/67905> S2018 http://hdl.handle.net/2263/67905 en © 2018 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 University of Pretoria |
| spellingShingle | Unrestricted UCTD SDG-03: Good health and well-being SDG-17: Partnerships for the goals Reasons for late initiation of antenatal care among pregnant women in Tshwane : a Narrative inquiry |
| title | Reasons for late initiation of antenatal care among pregnant women in Tshwane : a Narrative inquiry |
| title_full | Reasons for late initiation of antenatal care among pregnant women in Tshwane : a Narrative inquiry |
| title_fullStr | Reasons for late initiation of antenatal care among pregnant women in Tshwane : a Narrative inquiry |
| title_full_unstemmed | Reasons for late initiation of antenatal care among pregnant women in Tshwane : a Narrative inquiry |
| title_short | Reasons for late initiation of antenatal care among pregnant women in Tshwane : a Narrative inquiry |
| title_sort | reasons for late initiation of antenatal care among pregnant women in tshwane a narrative inquiry |
| topic | Unrestricted UCTD SDG-03: Good health and well-being SDG-17: Partnerships for the goals |
| url | http://hdl.handle.net/2263/67905 |