LinkedIn

 آمار

تعداد نشریات20
تعداد شماره‌ها1,262
تعداد مقالات11,502
تعداد مشاهده مقاله81,855,070
تعداد دریافت فایل اصل مقاله120,988,330
Esan, Deborah, Onilude, Kenneth, Ramos, Carlos. (1405). Midwives’ Perspective on Birth Preparedness and Complication Readiness Structure: A Qualitative Study. سامانه مدیریت نشریات علمی, 14(2), 124-133. doi: 10.30476/ijcbnm.2026.108394.2888
Deborah Tolulope Esan; Kenneth Akintunde Onilude; Carlos Guillermo Ramos. "Midwives’ Perspective on Birth Preparedness and Complication Readiness Structure: A Qualitative Study". سامانه مدیریت نشریات علمی, 14, 2, 1405, 124-133. doi: 10.30476/ijcbnm.2026.108394.2888
Esan, Deborah, Onilude, Kenneth, Ramos, Carlos. (1405). 'Midwives’ Perspective on Birth Preparedness and Complication Readiness Structure: A Qualitative Study', سامانه مدیریت نشریات علمی, 14(2), pp. 124-133. doi: 10.30476/ijcbnm.2026.108394.2888
Esan, Deborah, Onilude, Kenneth, Ramos, Carlos. Midwives’ Perspective on Birth Preparedness and Complication Readiness Structure: A Qualitative Study. سامانه مدیریت نشریات علمی, 1405; 14(2): 124-133. doi: 10.30476/ijcbnm.2026.108394.2888

Midwives’ Perspective on Birth Preparedness and Complication Readiness Structure: A Qualitative Study

International Journal of Community Based Nursing & Midwifery
مقاله 3، دوره 14، شماره 2 - شماره پیاپی 54، تیر 2026، صفحه 124-133    اصل مقاله (405.88 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2026.108394.2888
نویسندگان
Deborah Tolulope Esan* 1؛ Kenneth Akintunde Onilude1؛ Carlos Guillermo Ramos2
1Faculty of Nursing Sciences, College of Health Sciences, Bowen University Iwo, Nigeria;
2Department of Pediatrics, University of California, San Diego, USA
چکیده
Background: Birth Preparedness and Complication Readiness (BPCR) is a key strategy for reducing maternal and neonatal mortality, particularly in resource-limited settings. Midwives are central to BPCR implementation, but their perspectives on BPCR structure remain underexplored in Nigeria. This study explored midwives’ perspectives on BPCR structure in resource-limited environments.
Methods: A qualitative exploratory study was conducted over three months, from February to April 2025, using semi-structured interviews with 14 purposively selected midwives from primary, secondary, and tertiary healthcare facilities in Ogbomoso, Oyo State, Southwest Nigeria. Data collection was continued till data saturation. Data were analyzed thematically using Braun and Clarke’s six-phase framework. Rigor was ensured through strategies addressing credibility, transferability, dependability, and confirmability, and ATLAS.ti version 25 was used for data analysis.
Results: Three themes emerged from the data analysis: 1) Provide education and planning prerequisites, 2) Institutional support for midwives, and 3) Supportive network for pregnant women. Three subthemes emerged under providing education and planning requisites: complication orientation, detailed information access, and proper planning. Two subthemes were identified under institutional support for midwives: professional development and collaborative support. Two subthemes emerged under supportive network for pregnant women: emergency preparedness infrastructure and community-based support networks.
Conclusion: Midwives in the resource-limited setting perceived BPCR as a comprehensive framework encompassing education about complications, detailed information provision, and practical planning with families, alongside the dual nature of support institutional mechanisms for providers and community networks for pregnant women.
 
کلیدواژه‌ها
Health services accessibility؛ Midwifery؛ Maternal health services؛ Neonatal mortality؛ Pregnancy
مراجع
1.    World Health Organization. Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. Geneva: World Health Organization; 2023.
2.    Iloghalu EI, Ugwu EO, Obi SN. Determinants of birth preparedness and complication readiness: A cross-sectional study of parturient in a tertiary health institution in South-East Nigeria. Nigerian Journal of Clinical Practice. 2020;23:1456-61.
3.    Berhe AK, Muche AA, Fekadu GA, et al. Birth preparedness and complication readiness among pregnant women in Ethiopia: a systematic review and Meta-analysis. Reproductive Health. 2018;15:182.
4.    Kruk ME, Gage AD, Arsenault C, et al. High-quality health systems in the Sustainable Development Goals era: Time for a revolution. Lancet Global Health. 2018;6:e1196-1252.
5.    Ameh CA, Mdegela M, White S, et al. The effectiveness of training in emergency obstetric care: a systematic literature review. Health Policy and Planning. 2019;34:257-70.
6.    Celestina AO, Ihudiebube-Splendor C, Basil AO, et al. Birth preparedness and complication readiness knowledge and practice among pregnant women in selected primary health care centers in Port Harcourt, Rivers State. African Journal of Health, Nursing and Midwifery. 2020;3:23-34.
7.    Dagne AH, Beshah MH. Implementation of evidence-based practice: The experience of nurses and midwives. PLoS One. 2021;16:e0256600.
8.    Dartey AF, Phetlhu DR, Phuma-Ngaiyaye E. Coping with maternal deaths: The experiences of midwives. Ethiopian Journal of Health Sciences. 2019;29:495-502.
9.    Okonofua F, Ntoimo LF, Ekezue B, et al. Outcome of interventions to improve the quality of intrapartum care in Nigeria’s referral hospitals: a quasi-experimental research design. BMC Pregnancy and Childbirth. 2023;23:614.
10.    Mardiyanti I, Nursalam N, Wibowo A. Implementation of birth preparedness and complication readiness (BPCR) in high risk pregnancies. Indian Journal of Public Health Research & Development. 2018;9:1739-44.
11.    Salmon VE, Hay-Smith EC, Jarvie R, et al. Implementing pelvic floor muscle training in women’s childbearing years: a critical interpretive synthesis of individual, professional, and service issues. Neurourology and Urodynamics. 2020;39:863-70.
12.    Tolulope Esan D, Akintunde Onilude K, Guillermo Ramos C. Barriers and facilitators to implementing the birth preparedness and complication readiness strategy: midwives’ perceptions. BMC Pregnancy and childbirth.. 2025;25:1186.
13.    Braun V, Clarke V. Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. International Journal of Transgender Health. 2022;24:1-6.
14.    National Population Commission, Federal Ministry of Health and Social Welfare, ICF. Nigeria Demographic and Health Survey 2023-24. Nigeria, Rockville, Maryland, USA: National Population Commission and ICF; 2024.
15.    Onoja Ali J, Sanni Felix O, Akogu Simon PO, et al. Estimation of maternal mortality ratio with sisterhood method in six local government areas of Oyo State, Nigeria. MGM Journal of Medical Sciences. 2022;9:135-40.
16.    Braun V, Clarke V. Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern-based qualitative analytic approaches. Counseling and Psychotherapy Research. 2021;21:37-47.
17.    Berger R. Now I see it, now I don’t: Researcher’s position and reflexivity in qualitative research. Qualitative Research. 2015;15:219-34.
18.    Lincoln YS, Guba EG. Naturalistic inquiry. Thousand Oaks: SAGE Publications; 1985.
19.    Letose F, Admassu B, Tura G. Birth preparedness, complication readiness and associated factors among pregnant women in Agnuak zone, Southwest Ethiopia: a community based comparative cross-sectional study. BMC Pregnancy and Childbirth. 2020;20:72.
20.    Fagbamigbe AF, Bello S, Salawu MM, et al. Trend and decomposition analysis of risk factors of childbirths with no one present in Nigeria, 1990–2018. BMJ Open. 2021;11:e054328.
21.    Anikwe CC, Okorochukwu BC, Ikeoha CC, et al. Birth preparedness and complication readiness among pregnant women in a secondary health facility in Abakaliki, Ebonyi State, Nigeria. Biomed Research International. 2020;2020:9097415.
22.    Nwankwo CU, Ezenwaka CE. The barriers preventing pregnant women from accessing midwife-led antenatal care in Nigeria. Journal of Nursing Education and Practice. 2020;10:36.
23.    World Health Organization. WHO recommendations on health promotion interventions for maternal and newborn health 2015. Geneva: World Health Organization; 2015. 
24.    Shah B, Krishnan N, Kodish SR, et al. Applying the Three Delays Model to understand emergency care seeking and delivery in rural Bangladesh: a qualitative study. BMJ Open. 2020;10:e042690.
25.    Assefa EM, Berhane Y. Delays in emergency obstetric referrals in Addis Ababa hospitals in Ethiopia: a facility-based, cross-sectional study. BMJ Open. 2020;10:e033771.

آمار
تعداد مشاهده مقاله: 8
تعداد دریافت فایل اصل مقاله: 9


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب