|dc.contributor.author||MRithaa, Doreen K.M.||
|dc.contributor.author||Fawcus, Susan R.||
|dc.contributor.author||de la Harpe, Margaretha||
|dc.description.abstract||Background: Health care activities are influenced by information communication between
women during pregnancy, birth and motherhood and skilled birth attendants (SBAs) and
further, between the health care workers during the continuum of care. Therefore, effective
information communication processes (ICP) within and between health care facilities are a
requirement for appropriate management of patients or clients. The management of the
intrapartum period requires swift responses while managing critical information required for
further referral and management processes. The involvement of multiple actors at different
times with the same client carries the risk of communication breakdown at different points and
at different levels of care. The information communicated during the intrapartum period is
critical and should be accurate, timely and more importantly appropriate to enable better
maternal and neonatal outcomes.
Purpose: The purpose of this article is to discuss the complexities around ICP identified within
a developing context that influence the management of the intrapartum period.
Methods: Multi-method, multiple case study approach was used to analyse two case studies.
Only the challenges from one case study (A) are discussed in this article. In-depth interviews
were conducted with the SBAs. The role of observer-as-participant was utilised during the
observation; field notes and document review methods were used to gather the data. Thematic
analysis and activity analysis were applied to analyse the data.
Results: The findings identified challenges with information and communication that
influenced the management of the intrapartum period.
Conclusion: This study exhibited the challenges identified as development points that can
influence the management of the intrapartum period. These challenges were also identified as
desirable changes from the present state depending on the perspective of the actor.||en_ZA
|dc.subject||health care workers, skilled birth attendants (SBAs), pregnancy||en_ZA
|dc.subject||information communication processes (ICO), intrapartum period||en_ZA
|dc.title||Development spots in communication during the management of the intrapartum period: An interpretive multiple case study in a developing context||en_ZA