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The midwives’ experiences of the use of obstetric triage and obstetric triage tool during labour in Bojanala district


Kagiso P. Tukisi
Annie Temane
Anna Nolte

Abstract

Background: Obstetric triage (OBT) is a standardised procedure, which plays a vital role in identifying women with obstetric risks upon admission  for labour worldwide. In the last few years, considerable attention has been paid to perinatal problem identification programmes, and it has been  determined that the inconsistent use of OBT delays midwives’ responses to both existing and potential clinical problems amongst women in labour.  This delay results in negative and serious perinatal outcomes that could have been prevented. This study was conducted to explore and describe midwives’ experiences with OBT in Bojanala district.


Aim: This study aimed to explore and describe midwives’ experiences with OBT in Bojanala district.


Setting: This study was conducted in Bojanala district of the North West Province. Two public healthcare facilities were selected where midwifery  care and OBT services are rendered.


Methods: A qualitative, descriptive, explorative research design was followed. Nine purposefully sampled midwives participated in a one-on-one in-  depth interview. Data were analysed using Collaizi’s descriptive method based on the themes and categories that emerged.


Results: Three themes emerged. Midwives experienced the OBT tool to be inadequate; and that the low staff number contributes to an imbalance  in the midwife–patient ratio. Midwives were also dissatisfied with less support they receive from their management.


Conclusion: The study highlighted midwives’ experiences of the use of OBT, as presented through their lived experiences. The midwives  experienced challenges, which hindered them from practicing OBT to the best of their abilities.


Contribution: The study highlighted challenges experienced by midwives regarding OBT, which directly influence the outcomes of pregnancy and  labour. 


Journal Identifiers


eISSN: 2071-9736
print ISSN: 1025-9848