# Quality midwifery care during childbirth at a midwife obstetric unit: A qualitative study

## TL;DR

This study explores how women and midwives in South Africa perceive the quality of midwifery care during childbirth, highlighting differences in their views.

## Contribution

The study provides new insights into midwifery care perceptions in South Africa, emphasizing the need for stakeholder collaboration.

## Key findings

- Midwives and women have differing perceptions of quality midwifery care.
- Resource limitations compromise the quality of care in midwife obstetric units.
- Shared understanding and stakeholder engagement are needed to improve care quality.

## Abstract

Globally, there is an increasing focus on enhancing the quality of midwifery care. In public institutions, primary care midwifery is provided at a midwife obstetric unit (MOU). Midwives at MOUs are the first contact that pregnant women have when accessing midwifery care. There exists a notable disparity in the perception of quality midwifery care between midwives and women. In South Africa, there has been a scarcity of research examining the perspectives of midwives and women, regarding the quality of midwifery care provided during childbirth.

The objective of this study was to explore and describe women’s and midwives’ perceptions of the quality of midwifery care during childbirth, at a MOU in Cape Town in the Western Cape, South Africa.

A qualitative exploratory descriptive design was utilised. Four women and five midwives were selected through purposive sampling. Semi-structured interviews were undertaken, transcribed and analysed utilising Tesch’s eight-step approach to qualitative data analysis.

Three themes emerged: (1) understanding of quality midwifery care, (2) experiences of women during childbirth and (3) support received by women and midwives.

The quality of midwifery care remains compromised within the MOU setting due to various challenges encompassing limitations of both human and physical resources. It is imperative to establish a shared understanding of what constitutes quality midwifery care, as women and midwives often perceive it differently.

Midwifery care during childbirth requires the engagement of all stakeholders, including women, to enhance the quality of midwifery care provided.