Reproductive and Child Health Nursing
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Browsing Reproductive and Child Health Nursing by Author "Shidende,P."
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Item Midwives’ perceived knowledge, perceptions, and experiences of managing paternal postnatal depression in Tanzania: A qualitative descriptive study(Midwifery, 2025-01-21) Shidende,P.Background: Paternal postnatal depression (PPND) is an under-recognized condition that affects new fathers’psychological and emotional well-being, which may impact family dynamics, work performance, and childcare. Despite its significance, there is limited awareness and understanding of its management and implications among midwives, especially in Africa. Aims: To explore midwives’ experiences of managing PPND in Tanzania. Methods: A qualitative descriptive study explored Tanzanian midwives’ perceived knowledge, perceptions, and experience in PPND. Twenty-two midwives were purposively sampled from two hospitals in Dar-es-Salaam, Tanzania, to participate in two focus group discussions. Following Elo and Kyng¨as’ (2008) framework, quali-tative content analysis was employed to identify and interpret patterns in the data. Results: The midwives acknowledged PPND as significant and frequently encountered but overlooked. They identified risk factors like family health, socioeconomic status, and economic issues alongside emotional, physical, and behavioral symptoms in fathers. Challenges in managing PPND among midwives stem from insufficient resources, systemic obstacles, and societal stigma. Further, societal misconceptions could worsen PPND. To treat PPND, midwives used strategies including interprofessional collaboration, counseling, and ed-ucation, though they emphasized the need for better training and resources. Conclusion: While midwives in Tanzania recognized PPND and its impact, there was a pressing need for specialized training and systemic changes to better support affected fathers. Enhancing midwives’ knowledge and skills, addressing cultural and societal stigmas, and improving healthcare infrastructure were crucial to effectively managing PPND.Item Overcoming Cultural Barriers to Managing Labor Pain Among Tanzanian Women Using Non-pharmacological Interventions(Pain Management Nursing, 2025-01-25) Shidende,P.; Msenga,Ummy T.Managing labor pain effectively is crucial for ensuring positive maternal health outcomes. In Tanzania, cultural barriers often hinder the acceptance and utilization of non-pharmacological pain management interventions. This clinical consultation explored strategies for overcoming these cultural barriers to improve labor pain management among Tanzanian women using non-pharmacological interventions. A comprehensive literature review of existing research on non-pharmacological pain management techniques and cultural influences on pain perception and management was conducted, and an observed case study regarding the need to utilize nonpharmacological pain management interventions was also added. Studies indicated that non-pharmacological interventions such as massage, breathing techniques, and relaxation methods are effective and can be culturally adapted to fit Tanzanian women's beliefs and practices. Key barriers to use using these interventions include lack of awareness, limited access to training for healthcare providers, and cultural stigmas associated with pain expression. Successful strategies to overcome these barriers involve community education, involvement of traditional birth attendants, training healthcare providers in cultural competence, and engaging community leaders and family members. Future research should further explore the cultural adaptation and effectiveness of these interventions to ensure their sustainable integration into maternal care practices in countries with limited resources.