× Close

📚 Departmental Topics and Materials for (2024) Google Researchers
Accounting Topics
Building Technology Topics
Business Management Topics
Curriculum Studies Topics
Education Topics
📚 Project or Seminar Related (2024) Scholaristic Topics for Students

Search for Project and Seminar Topics Post Advertisement Items for Promotion
Anonymous
Relevance of Safe Motherhood in Midwifery Practice Among Primigravidas

Relevance of Safe Motherhood in Midwifery Practice Among Primigravidas

Project / Seminar Material
Reference ID: PS-24994-TM

DEDICATION

This research work titled "Relevance of Safe Motherhood in Midwifery Practice Among Primigravidas" is dedicated to God for his enabling grace and to all computer enthusiasts who help to make life a pleasant experience.

ACKNOWLEDGEMENT

I owe my indebtedness to my Supervisor (Name of your Supervisor), the Head of Department (Name of your HOD), the Lecturers in the department of Midwifery, Book Authors and Profound Scholars of existing/related research material for your moral support that facilitated the successful completion of my (Tertiary Institution level). I am grateful to God Almighty and my parent for their financial support in my career. I really appreciate you all for everything, Thank you very much.

TABLE OF CONTENTS

PRELIMINARY PAGES


CHAPTER ONE

INTRODUCTION


CHAPTER TWO

LITERATURE REVIEW

  • 2.1 Introduction
  • 2.2 Conceptual Review
  • 2.3 Theoretical Framework
  • 2.4 Empirical Studies

CHAPTER THREE

RESEARCH METHODOLOGY

  • 3.1 Introduction
  • 3.2 Research Design
  • 3.3 Population of Study
  • 3.4 Sampling and Sampling Technique
  • 3.5 Validation of Research Instrument
  • 3.6 Method of Data Collection
  • 3.7 Method of Data Analysis
  • 3.8 Questionnaire Administration
  • 3.9 Ethical Consideration
  • 3.10 Statistical Analysis

CHAPTER FOUR

DATA ANALYSIS, RESULT AND DISCUSSION

  • 4.1 Introduction
  • 4.2 Presentation and Analysis of Data
  • 4.3 Re-statement of Research Questions
  • 4.4 Test of Hypotheses
  • 4.5 Discussion of Findings

CHAPTER FIVE

SUMMARY, CONCLUSION AND RECOMMENDATION

  • 5.1 Introduction
  • 5.2 Summary of Findings
  • 5.3 Conclusion
  • 5.4 Recommendation
  • 5.5 Suggestion for Further Study

REFERENCES

APPENDIX A - “QUESTIONNAIRE”


Relevance of Safe Motherhood in Midwifery Practice Among Primigravidas

CHAPTER ONE

1.1 Introduction

Safe motherhood means ensuring that women’s receive the care they need to be and health through the pregnancy. Safe motherhood includes antenatal care, intranatal care, postnatal care and neonatal care. Motherhood is a beautiful and joyous experience to a woman the health of the mother during pregnancy is important to give birth to a healthy baby. Important services provided at the antenatal clinic are, risk assessment and categorization of pregnant women, identification of concurrent or undercurrent medical health conditions in pregnancy and treating them, birth preparedness, provision of information on pregnancy delivery and child care for the pregnant women and general health information and promotion (Mandara and Otubu, 2007).

As a prelude to other parts of this study, this chapter will discuss the background upon which this study was initiated, the statement of problems that led to this study, the Aim and Objectives of the study. Others are Significance of the study, Scope of work, Research hypothesis and questions, Limitation of the study and Definition of technical terms.


1.2 Background of Study

The World Health Organisation (2014) asserted that about 99% of maternal deaths occur in lowresource settings and most of it can be prevented; and approximately 2.6 million babies from lowresource settings were stillborn in 2015 (Blencowe et al., 2016). It is estimated that in the occurrence of each maternal death there is between 50-100 severe maternal morbidity suffered by other women (Geller, et al., 2018; Miller, et al., 2016). However, a review by Sandall et al. (2015) revealed that continuity of care improve the health outcomes of women and their babies.

Midwifery practice is about strengthening family relationships, empowerment and normal birth (Killingley, 2016). This is done more effectively through patient centered care, and continuity of care agrees with the call for making care to be patient centered (Burau & Overgaard, 2015). In midwifery, it has been proven that continuity of care is safe and developed trust between midwife and woman which bring about empowerment and informed choice (Boyle et al., 2016). Based on the human right approach, the concern about women is not only on avoiding death and morbidity, but also promoting health and wellbeing with respect, dignity and rights (World Health Organization [WHO], 2016a), an issue of great concern to developing countries. Thus, midwifery continuity of care (MCC) models are highly recommended for maternal and neonatal health (National Maternity Review, 2016; WHO, 2016b).

Midwifery is a health care profession that offers care to childbearing woman during the periods of pregnancy, labour and post-partum. It provides care to newborn, primary care to healthy pregnant women, family planning and menopausal care (Oyetunde, 2014). In Nigeria the midwifery service is largely through a traditional midwifery practice by which midwives run a shift duty in rotation (Morning, evening and night duties) with some days given as off duty between every shift. Thus, a pregnant woman would be having contact with many different midwives through her pregnancy, delivery and post-partum care. Also, traditional birth attendants (TBAs) provide midwifery services, most commonly in rural areas (Oyetunde, 2014). However, in 2009 The Nigerian government introduces a Midwifery Service Scheme (MSS) in which the newly qualified, unemployed, and retired midwives are recruited and deployed to public primary health facilities especially in rural areas (Okeke et al., 2017).

Women have to know that they have to be pregnant before registering for antenatal care and that the earlier they do so the better for them. This can help them against subsequent pregnancies for early identification and presentation for care and also reduce the incidence of people registering for antenatal care without being pregnant. Apart from absence of menses (Cunningham et al., 2010), pregnancy can be confirmed by urine pregnancy test (with dip stick) or serum pregnancy test in the hospital. Other early pregnancy symptoms include nausea and vomiting in early pregnancy, breast fullness, anorexia or increased appetite. Pregnant women must be informed that these symptoms may be exaggerated at times and may even warrant hospital care (Miller, 2002). Pregnant women must be informed of the need for early booking (Hatherall et al., 2016) for antenatal care in the hospital and the benefits there-in. These include evidence based, goal directed actions to guarantee better pregnancy outcome and qualitative health care by skilled provider.

Therefore, in Nigeria where the research was carried out, the activities that was conducted is to examine The Relevance of Safe Motherhood in Midwifery Practice among Primigravidas.


1.3 Statement of Problems

Investigation revealed that whilst it is difficult to categorize maternity Models of Care among Primigravid Women exclusively due to the influence of generic policies and guidelines, it is assumed that the underpinning philosophy of a midwife-led model of care is normality and the natural ability of women to experience birth without routine intervention. Midwife-led Continuity of Care among Primigravid Women has been defined as care where “the midwife is the lead professional in the planning, organisation and delivery of care given to a woman from initial booking to the postnatal period” (RCOG 2001). Some antenatal and/or intrapartum and/or postpartum care may be provided in consultation with medical staff as appropriate. Within these models, midwives are, however, in partnership with the woman, the lead professional with responsibility for assessment of her needs, planning her care, referral to other professionals as appropriate, and for ensuring provision of maternity services.


1.4 Aim and Objectives of Study

The aim of the study is to examine the Relevance of Safe Motherhood in Midwifery Practice among Primigravidas. In achieving this aim, the following specific objectives were laid out as follows:

  1. To assess the level of awareness and information about pregnancy and its care that primigravid women possess at the time of attending booking clinic.
  2. To identify the factors militating the Relevance of Safe Motherhood in Midwifery Practice among Primigravidas.
  3. To assess the effectiveness of educational program on knowledge regarding safe motherhood among primigravid women.
  4. To compare the effects of Midwife-led Continuity of Care among Primigravid Women with other Models of Care for women experiencing pregnancy for the first time.

1.5 Research Questions

The study came up with research questions so as to be able to ascertain the above stated objectives. The specific research questions for the study are stated below as follows:

  • Is primigravid women informed about pregnancy and its care at the time of attending booking clinic?
  • Is educational program on knowledge regarding safe motherhood among primigravid women effective?
  • What are the factors militating the Relevance of Safe Motherhood in Midwifery Practice among Primigravidas?
  • What are the effects of Midwife-led Continuity of Care among Primigravid Women with other Models of Care for women experiencing pregnancy for the first time?

1.6 Research Hypothesis

In order to pursue the objective of this study, the following generalized statements have been designed to guide and aids in obtaining the result for the experiment to be conducted. For this work, the null hypothesis will be represented with H0 while the alternative hypothesis will be represented with hypothesis H1.

Hypothesis One

  • H0: There is no significant relationship between the effects of Midwife-led Continuity of Care among Primigravid Women with other Models of Care for women experiencing pregnancy
  • H1:There is significant relationship between the effects of Midwife-led Continuity of Care among Primigravid Women with other Models of Care for women experiencing pregnancy

Hypothesis Two

  • H0: There are no significant factors affecting the Safe Motherhood in Midwifery Practice among Primigravidas
  • H1: There are significant factors affecting the Safe Motherhood in Midwifery Practice among Primigravidas

1.7 Significance of Study

The research work will provide information about continuity of care among primigravid women associated with reduced preterm birth, or miscarriage, and fewer interventions in pregnancy and delivery. The mother’s health and wellbeing is a crucial factor that is closely associated with newborn child’s good health and survival. Thus, MCC can be a means of improving children health. The findings on Midwife-led Continuity of Care among Primigravid Women will improve satisfaction with care also in such settings. There are increased user expectations for qualitative and safe care in low-and middle-income countries, including respectful and sensitive care.

This study will be of immense benefit to researchers who intend to know more on this study and can also be used by non-researchers to build more on their research work. This study contributes to knowledge and could serve as a guide for other study.


1.8 Scope of the Study

The scope of this research is focused on the Relevance of Safe Motherhood in Midwifery Practice among Primigravidas using Enugu State Primary Health Care Centre as a case study.


1.9 Limitations of the Study

During the course of this study, many things militated against its completion, some of which are:

  1. Time Constraint:The time frame given to accomplish this project was very short due to school academic calendar and it was carried out under pressure which made the researcher not to implement some necessary features.
  2. Initial Cooperation Delay from Respondents: A particular limitation of this work came as a result of the respondent refusal to offer their cooperation at the initial time they were contacted. This contributed in making the success of this research study difficult.
  3. Financial Constraint: Insufficient fund tends to impede the efficiency of the researcher in sourcing for the relevant materials, literature or information and in the process of data collection (internet, questionnaire and interview).

1.10 Definition of Terms

Prescription:

A prescription is a health-care program implemented by a physician or other qualified health care practitioner in the form of instructions that govern the plan of care for an individual patient.

Medication:

A medication is a substance that is taken in to or placed on the body that does one of the following things: most medications are used to cure disease or condition. (For example, antibiotics are given to cure an infection. Medications are also given to treat a medical condition).

Symptom:

A symptom is a departure from normal function or feeling which is apparent to a patient, reflecting the presence of an unusual state or of a disease.

Administration:

An administration is the act of giving a drug to somebody or a patient (for example the administration of antibiotics).

Information:

Information is used to tell someone that they are wrong about something.

Patient Data:

This is the patient medical records such as; name, address, and phone number.

CHAPTER TWO

2.0 Literature Review

2.1 Introduction

This chapter focuses on the review of related literature. A literature review includes the current knowledge as well as theoretical and methodological contributions to a particular topic. It documents the state of the art with respect to the topic you are writing. It surveys the literature in the topic selected. In this research work the literature review includes the …

Summary Headlines for Relevance of Safe Motherhood in Midwifery Practice Among Primigravidas