Date of Award

11-30-2021

Degree Type

Thesis

Degree Name

MSc in Nursing

First Advisor

Dr Salma Rattani

Second Advisor

Ms Shahnaz Shahid

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Globally, Maternal, Newborn, and Child Health (MNCH) has different models of care. The obstetrician-led model of care (OLMC) and the Midwife-led continuityof-care (MLCC) are two dominant models. In Pakistan, MLCC has been implemented at the small level of care, with a limited scope of practice in different areas of the country. Evidence suggests that MLCC has been favourably satisfactory, but access to this model is limited.
/="/">Purpose: This study aimed to explore the perceptions of obstetricians and nursemidwives (NMs) towards adopting MLCC in a private tertiary care hospital in Karachi, Pakistan. The study also explored, the enabling and hindering factor towards the establishment of MLCC.
/="/">Method: A qualitive descriptive exploratory design was used. The participants were enrolled through the purposive sampling. Five obstetricians and five NMs participated in the study. Data collection was through semi-structured, in-depth interviews, either in-person or through video conferencing (zoom).
/="/">Findings: Based on the analysis of the participants’ interviews, two themes emerged and each of these themes had categories. In theme 1, ‘acknowledgment of the MLCC model’ three categories were identified including: (1) appreciation of midwifery services (2) shared model of care, (3) marketing of the model. In theme 2, ‘hindrances in the implementation of MLCC’, three categories were identified: (1) non- acceptance of the model, (2) demand for policy establishment for MLCC, (3) credentialing of the staff.
/="/">Conclusion: The study findings revealed that midwives are struggling to be recognized an independent and autonomous practitioners. The NMs and obstetrician desired MLCC services and acknowledged that its low-cost services can benefit women, if MLCC effectively integrated in the current setup. This study recommended that NMs should have autonomy to practice their full set of skills.

First Page

1

Last Page

77

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