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Title: | Midwives’ experiences of implementing respectful maternity care knowledge in daily maternity care practices after participating in a four-day RMC training |
Authors: | Dzomeku, Veronica Millicent Mensah, Adwoa Bemah Boamah Nakua, Emmanuel Kweku Agbadi, Pascal Lori, Jody Rae Donkor, Peter |
Keywords: | Respectful maternity care training Midwives Ghana |
Issue Date: | 2020 |
Publisher: | Research Square |
Citation: | Research Square; 2020 and available at: https://doi.org/10.21203/rs.3.rs-17494/v2 |
Abstract: | Background: In Ghana, studies documenting the effectiveness of evidence-based specialized training
programs to promote respectful maternity care (RMC) practices in healthcare facilities are few. Thus, we
designed a four-day RMC training workshop and piloted it with selected midwives of a tertiary healthcare
facility in Kumasi, Ghana. The present paper evaluated the impact of the training by exploring midwives’
experiences of implementing RMC knowledge in their daily maternity care practices four months after the
training workshop.
Methods: Through a descriptive qualitative research design, we followed-up and conducted 14 in-depth
interviews with participants of the RMC training, exploring their experiences of applying the acquired RMC
knowledge in their daily maternity care practices. Data were managed and analysed using NVivo 12.
Codes were collapsed into subthemes and assigned to three major predetermined themes.
Results: The ndings have been broadly categorized into three themes: experiences of practising RMC in
daily maternity care, health facility barriers to practising RMC, and recommendations for improving RMC
practices. The midwives mentioned that applying the newly acquired RMC knowledge has positively
improved their relationship with childbearing women, assisted them to effectively communicate with the
women, and position them to recognize the autonomy of childbearing women. Despite the positive
inuence of the training on clinical practice, the midwives said the policy and the built environment in the
hospital does not support the exploration of alternative birthing positions. Also, the hospital lacked the
required logistics to ensure privacy for multiple childbearing women in the open labour ward. The
midwives recommended that logistics for alternative birthing positions and for privacy in the ward should
be provided. Also, all midwives and staff of the hospital should be taken through the RMC training
program to encourage good practice.
Conclusion: Despite the report of some RMC implementation challenges, the midwives noted that the 4-
day RMC training has had a positive impact on their maternity caregiving practice in the hospital. Policies
and programs aimed at addressing the issue of disrespect and abusive practices during maternity care
should advocate and include the building of facilities that support alternative birthing positions and
privacy of childbearing women during childbirth. |
Description: | An article published in Research Square; 2020 and available at: https://doi.org/10.21203/rs.3.rs-17494/v2 |
URI: | http://hdl.handle.net/123456789/13458 |
Appears in Collections: | College of Health Sciences
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