Safety before Comfort: A Focused Enquiry of Nepal Skilled 
Birth Attendants’ Concepts of Respectful Maternity Care

Background: Respectful maternity care is the universal right of childbearing women, but in Nepal there are no midwives to deliver this care and it is provided by skilled birth attendants (SBAs), who may be physicians, certified nurses, auxiliary nurse-midwives or degree-trained nurses. The aim of th...

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Main Authors: Erlandsson, K, Tamrakar Sayami, J, Sapkota, S
Format: Technical Report
Language:en_US
Published: 2016
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Online Access:http://103.69.126.140:8080/handle/123456789/167
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spelling oai:103.69.126.140:123456789-1672022-11-08T10:29:26Z Safety before Comfort: A Focused Enquiry of Nepal Skilled 
Birth Attendants’ Concepts of Respectful Maternity Care Reproductive Health Erlandsson, K Tamrakar Sayami, J Sapkota, S evidence-based midwifery focus group discussions maternity care midwifery phenomenographic analysis Background: Respectful maternity care is the universal right of childbearing women, but in Nepal there are no midwives to deliver this care and it is provided by skilled birth attendants (SBAs), who may be physicians, certified nurses, auxiliary nurse-midwives or degree-trained nurses. The aim of this study was to explore how this concept of respectful maternity care was perceived by SBAs in practice. Methods: Focus group discussions were used and the setting was two tertiary level maternity hospitals in Nepal. Ethical approval for the study was obtained from the Nepal Health Research Council. A total of 24 SBAs were recruited voluntarily from the maternity units. Data were analyzed using a phenomenographic approach and interpretation was verified by the focus group facilitator and note-taker. Results: Five categories, divided into16 sub-categories, present the SBAs’ collective description of respectful care. Conclusions: SBAs understood that respectful care at birth was important, but argued that ‘safety comes before comfort’. To achieve safe maternity care, the contribution of relatives is essential, in addition to the provision of medical care. Keywords: evidence-based midwifery; focus group discussions; maternity care; midwifery; phenomenographic analysis. 2016-11-13T07:21:39Z 2022-11-08T10:10:46Z 2016-11-13T07:21:39Z 2022-11-08T10:10:46Z 2014 Technical Report http://103.69.126.140:8080/handle/123456789/167 en_US application/vnd.openxmlformats-officedocument.wordprocessingml.document
institution My University
collection DSpace
language en_US
topic evidence-based midwifery
focus group discussions
maternity care
midwifery
phenomenographic analysis
spellingShingle evidence-based midwifery
focus group discussions
maternity care
midwifery
phenomenographic analysis
Erlandsson, K
Tamrakar Sayami, J
Sapkota, S
Safety before Comfort: A Focused Enquiry of Nepal Skilled 
Birth Attendants’ Concepts of Respectful Maternity Care
description Background: Respectful maternity care is the universal right of childbearing women, but in Nepal there are no midwives to deliver this care and it is provided by skilled birth attendants (SBAs), who may be physicians, certified nurses, auxiliary nurse-midwives or degree-trained nurses. The aim of this study was to explore how this concept of respectful maternity care was perceived by SBAs in practice. Methods: Focus group discussions were used and the setting was two tertiary level maternity hospitals in Nepal. Ethical approval for the study was obtained from the Nepal Health Research Council. A total of 24 SBAs were recruited voluntarily from the maternity units. Data were analyzed using a phenomenographic approach and interpretation was verified by the focus group facilitator and note-taker. Results: Five categories, divided into16 sub-categories, present the SBAs’ collective description of respectful care. Conclusions: SBAs understood that respectful care at birth was important, but argued that ‘safety comes before comfort’. To achieve safe maternity care, the contribution of relatives is essential, in addition to the provision of medical care. Keywords: evidence-based midwifery; focus group discussions; maternity care; midwifery; phenomenographic analysis.
format Technical Report
author Erlandsson, K
Tamrakar Sayami, J
Sapkota, S
author_facet Erlandsson, K
Tamrakar Sayami, J
Sapkota, S
author_sort Erlandsson, K
title Safety before Comfort: A Focused Enquiry of Nepal Skilled 
Birth Attendants’ Concepts of Respectful Maternity Care
title_short Safety before Comfort: A Focused Enquiry of Nepal Skilled 
Birth Attendants’ Concepts of Respectful Maternity Care
title_full Safety before Comfort: A Focused Enquiry of Nepal Skilled 
Birth Attendants’ Concepts of Respectful Maternity Care
title_fullStr Safety before Comfort: A Focused Enquiry of Nepal Skilled 
Birth Attendants’ Concepts of Respectful Maternity Care
title_full_unstemmed Safety before Comfort: A Focused Enquiry of Nepal Skilled 
Birth Attendants’ Concepts of Respectful Maternity Care
title_sort safety before comfort: a focused enquiry of nepal skilled 
birth attendants’ concepts of respectful maternity care
publishDate 2016
url http://103.69.126.140:8080/handle/123456789/167
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