Evidence map›Paper›PMID 34192066›Full record

ArticleHealth SA = SA Gesondheid2021

Experience of midwives in providing care to labouring women in varied healthcare settings: A qualitative study.

Marie Hastings-Tolsma, Annie Temane, Oslinah B Tagutanazvo, Sanele Lukhele, Anna G Nolte

Abstract read
In one paragraph

Article in Health SA = SA Gesondheid, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Experiences and Challenges of Rural Nurses in Botswana Handling Births Outside the Hospital Environment.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marie Hastings-TolsmaLouise Herrington School of Nursing, Faculty of Nursing/Midwifery, Baylor University, Dallas, Texas, United States of America.ORCID https://orcid.org/0000-0002-4204-7566
Annie TemaneDepartment of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-6990-7848
Oslinah B TagutanazvoDepartment of Midwifery Science, Faculty of Health Sciences, University of Eswatini, Mbabane, Eswatini.ORCID https://orcid.org/0000-0003-3551-8929
Sanele LukheleDepartment of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-8603-2801
Anna G NolteDepartment of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-9828-6574

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMidwives are essential to timely, effective, family-centred care. In South Africa, patients have often expressed dissatisfaction with the quality of midwifery care. Negative interpersonal relationships with caregivers, lack of information, neglect and abandonment were consistent complaints. Less is known about how midwives experience providing care.

aimThis research explored and described the experiences of midwives in providing care to labouring women in varied healthcare settings.

settingMidwives practicing in the Gauteng province, South Africa, in one of three settings: private hospitals, public hospitals or independent maternity hospital.

methodsA convenience sample of midwives (

resultsFive themes were found: proud to be a midwife, regulations and independent function, resource availability, work burden and image of the midwife.

conclusionMidwives struggle within systems that fail to allow independent functioning, disallowing a voice in making decisions and creating change. Regardless of practice setting, midwives expressed frustration with policies that prevented utilisation consistent with scope of practice, as well as an inability to practice the midwifery model of care. Those in public settings expressed concern with restricted resource appropriation. Similarly, there is clear need to upscale midwifery education and to establish care competencies to be met in providing clinical services. CONTRIBUTION: This research provides evidence of the midwifery experience with implications for needed health policy change.

Indexed as

childbirthlabourmidwiferyqualitative researchsub-Saharan Africa

Identifiers

PMID34192066
PMCPMC8182560

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.