Emma Johnson Smith, Nicola Morrell-Scott, Debbie Roberts, Ian Jones
Research in action-developing and evaluating a student research placement experience
Nurse education today
women childbearing age feel great giving birth pain could excruciating depending pain tolerances midwives requires obstetrical knowledge skills pain management labour safety explored midwives perspectives utilisation pharmacological pain alleviation interventions labour selected hospitals matjhabeng municipality free state province south africa qualitative study undertaken involving sample ten midwives using semistructured interview guide interviews audiorecorded transcribed verbatim teschs open coding data analysis method applied analyse data midwives restricted use pethidine phenergan prescribed doctors labour pain relief disrupted labour pain management obliged either wait physician follow telephone instructions according midwives women taking pethidine phenergan encountered adverse effects discomfort midwives identified high workload inadequate personnel lack skill knowledge lack medication availability lack infrastructure primary challenges administering pharmacological methods women labour lack standing orders delays administration medications pending physicians prescription constituted additional difficulty instance pethidine phenergan unavailable ineffective women midwives recommended women administered alternative pharmacological pain relievers also advocated institutionalization pharmacological guidelines allowing use discretion treating labour pain midwives utilise standardised regulated pharmacological medications labour pain management midwives ability administer pharmacological pain relief labour hampered high workload burden insufficient staff lack skill understanding drug unavailability inadequate infrastructure midwives advocated supported guidelines would allow treat labour pain discretion intersectoral stakeholders required improve midwife skills attitudes health facilities need train supply analgesics midwives midwives ought familiar pharmacological pain relievers