Quality care during childbirth at a midwife obstetric unit in Cape Town, Western Cape: Women and Midwives’ perceptions By Sedeeka Martin Student number 3515420 A thesis submitted in partial fulfilment of the requirements for the degree of Magister Curationis in the School of Nursing, Faculty of Community and Health Sciences, University of the Western Cape. Supervisor: Dr. G.C. Filies Date: September 2018 http://etd.uwc.ac.za/ TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................................................ i Declaration .............................................................................................................................................. v Keywords ................................................................................................................................................ vi List of Figures ........................................................................................................................................ vii List of Tables ......................................................................................................................................... vii List of Addendums ............................................................................................................................... viii Abbreviations ......................................................................................................................................... ix Dedication ............................................................................................................................................... x Acknowledgements ................................................................................................................................ xi Abstract: ................................................................................................................................................ xii CHAPTER 1 .............................................................................................................................................. 1 1 OVERVIEW OF THE STUDY .............................................................................................................. 1 1.1. Introduction & background .......................................................................................................... 1 1.2. Problem statement ...................................................................................................................... 4 1.3. Significance of the study .............................................................................................................. 5 1.4.Research purpose ......................................................................................................................... 6 1.5. Aim of the study ........................................................................................................................... 6 1.6. Study objectives ........................................................................................................................... 6 1.7. Definition of concepts .................................................................................................................. 6 1.8. Literature review .......................................................................................................................... 6 1.8.1. Caring from women’s perspectives ...................................................................................... 7 1.8.2. Caring from midwives’ perspectives ..................................................................................... 8 1.8.3. Midwife-woman interaction ................................................................................................. 8 1.9. Research Methodology ................................................................................................................ 8 1.9.1. Design .................................................................................................................................... 8 1.9.2. Study setting ......................................................................................................................... 9 i http://etd.uwc.ac.za/ 1.9.3. Data collection .................................................................................................................... 10 1.9.4. Trustworthiness of the study .............................................................................................. 12 1.10. Ethical Consideration ............................................................................................................... 13 1.10.1.Informed consent ............................................................................................................... 13 1.10.2. Right to confidentiality ...................................................................................................... 14 1.11. Conclusion ................................................................................................................................ 14 CHAPTER 2: ........................................................................................................................................... 15 2 LITERATURE REVIEW ..................................................................................................................... 15 2.1. Introduction ............................................................................................................................... 15 2.2. Reviewing and presenting the literature ................................................................................... 15 2.2.1. The role of the midwife ....................................................................................................... 16 2.2.2. Why is quality care important? ........................................................................................... 18 2.2.3. Compassionate birth ........................................................................................................... 19 2.2.4. What are human rights? ..................................................................................................... 20 2.2.5. Quality care from a human rights perspective ................................................................... 21 2.3. Conclusion .................................................................................................................................. 26 CHAPTER 3 ............................................................................................................................................ 28 3 RESEARCH METHODOLOGY .......................................................................................................... 28 3.1. Introduction ............................................................................................................................... 28 3.2. Research design ......................................................................................................................... 28 3.3. Reasoning in research ................................................................................................................ 30 3.4. Study setting .............................................................................................................................. 31 3.5. Population .................................................................................................................................. 33 3.6. Sampling ..................................................................................................................................... 33 3.7. Data collection ........................................................................................................................... 34 3.7.1. Data collection instrument ................................................................................................. 34 3.7.2. Preparation for the interview ............................................................................................. 34 3.7.3. Interview process ................................................................................................................ 35 ii http://etd.uwc.ac.za/ 3.8. Data analysis .............................................................................................................................. 36 3.9. Trustworthiness of the study ..................................................................................................... 36 3.10. Ethical clearance ...................................................................................................................... 38 3.10.1. Informed consent .............................................................................................................. 38 3.10.2. Right to self-determination ............................................................................................... 39 3.10.3. Right to privacy and confidentiality .................................................................................. 39 3.10.4. Beneficence and non-maleficence .................................................................................... 40 3.10.5. Justice ................................................................................................................................ 40 3.10.6. Veracity ............................................................................................................................. 41 3.10.7. Fidelity ..............................................................................................................................