Tanzanian midwives' views on becoming a good resource and support person for postpartum women

Abstract

Objectives: to explore midwives' views in relation to the provision of systematic postpartum care.

Design: qualitative focus group study using grounded theory approach.

Setting: Dar es Salaam, Tanzania.

Participants: 49 nurse/midwives in five focus group discussions, each having 9-11 participants.

Findings: eight categories were identified: 'reflecting', 'getting ready', 'defining abilities', 'networking', 'integrating', 'balancing', 'dealing with reality', and 'caring'. The identified core category that integrated and encapsulated all other categories was 'becoming a good resource and support person for postpartum woman'. The mediating factors found to have potential for influencing how a midwife can function in order to become a good resource and support person were: a) the structure and approach in maternal and child health services, b) midwives' knowledge, attitude and skills, c) informal sources of knowledge to parents, and d) cultural beliefs and practices.

Conclusion: the findings of this study provide an understanding of the way midwives feel and think about the provision of postpartum care. The findings demonstrate that midwives need support in their efforts to achieve what they consider necessary for postpartum care. Interventions for educating and supporting midwives should be targeted at enabling them to deal with all the factors that influence their role and help them to identify and use better strategies to provide quality care.