n Africa Journal of Nursing and Midwifery - Factors influencing effective consultation of advanced midwives by general midwives in Nelson Mandela Bay obstetric units

Volume 17, Issue 1
  • ISSN : 1682-5055


South Africa has a growing number of perinatal and maternal deaths and, despite this challenge, advanced midwives are still not always adequately consulted by the general midwives on duty. As a result, pregnant and labouring women remain at risk. The aim of this study was to describe factors influencing effective consultation of advanced midwives by general midwives practising in the obstetric units in the Nelson Mandela Bay. A quantitative research approach founded on a descriptive design was used. The data collection tool was a self-administered questionnaire. Data was collected between July and September 2013 from practising midwives in Nelson Mandela Bay obstetric units. To ensure reliability of the questionnaire responses, Cronbach's alpha was used. The study found that the advanced midwives are not being consulted by general midwives because they are perceived as lacking the advanced skills of specialist midwives. Based on the findings, recommendations were made to assist practising midwives to use the skills of the advanced midwives and limit the delays in referrals and decision-making in the management of high-risk pregnant women in confinement.

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