ArticleEuropean journal of midwifery2022
The perspectives of nurse-midwives and doctors on clinical challenges of prolonged labor: A qualitative study from Tanzania.
Article in European journal of midwifery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Multi-professional simulation training on prolonged labor in Tanzania: A quasi-experimental, pre-post interventional study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Virtual simulator prototype for teaching natural childbirth care: a validation study.BMC nursing · 2026Article
- A randomized controlled trial on the effectiveness of peanut ball device during labor on maternal outcomes and stress levels.Journal of education and health promotion · 2026Article
- Inconsistent definitions of prolonged labor in international literature: a scoping review.AJOG global reports · 2024Article
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6 authors.
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Abstract
introductionGlobally, evidence suggests that one-third of nulliparous women experience delay in the first stage of labor with an increased risk of poor maternal and neonatal outcomes. With this study, we explore how clinical challenges related to prolonged labor are perceived by nurse-midwives and doctors in Tanzania.
methodsA qualitative study with group interviews of either nurse-midwives (7 interviews) or doctors (2 interviews). A total of 37 respondents, among them 32 registered nurse-midwives and 5 doctors participated, all with experience from labor wards. A qualitative content analysis was performed. The study setting comprised one zonal consultant university hospital and one regional referral hospital in Northern Tanzania.
resultsClinical challenges were expressed in relation to: 1) various ways of understanding prolonged labor, manifested by variations in expected duration of labor and the usage of different terms to describe prolonged labor; 2) assessing progress in labor, the partograph being described as an important tool but also a template defining a too narrow normal; 3) appropriate intervention at the appropriate time, the respondents reflect on the correct time for artificial rupture of membranes, oxytocin augmentation and cesarean section; 4) monitoring fetal heart rate, distrust in the monitoring equipment with experiences of surprisingly poor neonates; and 5) working as a team, where the perception of urgency varies and distrust is present.
conclusionsNurse-midwives and doctors in Tanzania face major challenges related to diagnosing prolonged labor, monitoring fetal heart rate and providing high quality health services as a team.
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