https://orcid.org/0000-0001-7062-9785
Abstract
Introduction
Globally, magnesium sulfate (MgSO4) has been recognized as the drug of choice for preventing and controlling fits among women with severe pre-eclampsia and eclampsia, respectively. Improper use of magnesium sulfate has been reported globally. Therefore, actionable findings for improving magnesium sulfate use are needed. This study aims at understanding the views of midwives towards MgSO4 use to inform an intervention whose objective is to improve MgSO4 use among the midwives.
Methods
An exploratory qualitative study was conducted from July to September 2018. We conducted 10 in-depth interviews and a focus group discussion with midwives. All the interviews were audio taped and transcribed verbatim. Data were managed by NVivo version 10.0 and analyzed thematically.
Results
We identified one overarching theme: “Inadequate governing approaches on management of clients on MgSO4” with corresponding subthemes; in adequate preparation on magnesium sulfate administration; inconsistent formula, regimen and guidelines/protocols on magnesium sulfate use and lack of resources.
Conclusion
Midwives perceived MgSO4 use as a demanding activity due to inadequate training, inconsistent tools, and lack of resources. While periodic in-service training should be intensified to improve MgSO4 use, necessary resources should be provided, such as blood pressure machines, more midwives, and protocols.
Abbreviations
COMREC, College of Medicine Research Ethics Committee; FGD, Focus group discussion; IDIs, In depth interviews; LMICs, Low and middle income countries; MgSO4, Magnesium sulfate; NORHED; The Norwegian Programme for Capacity Development in Higher Education and Research for Development; QECH, Queen Elizabeth Central Hospital; WHO, World Health Organization.
Ethics Approval and Consent to Participate
Permission to conduct the study was granted by the College of Medicine Research Ethics Committee (COMREC) certificate number P.01/17/2092, while institutional permission was obtained from Queen Elizabeth Central Hospital management and from the head of Chatinkha maternity wing. All the participants were 18 years old and above and their participation in the study was voluntary. Informed consent was obtained prior to the interviews and discussions. Voluntary participation and informed consent ensured that our study complied with ethical requirements. Additionally, the researchers ensured the research participants that they could withdrawal at any time without facing reprimands. Confidentiality and anonymity of the participants were observed by conducting interviews in private places and using codes for identification of the participants. The participants were informed that the information they provided would be used for quality improvement and could be published.
Data Sharing Statement
All datasets used or analyzed during the current study are available from the corresponding author on reasonable request.
Acknowledgments
We would like to thank the participants for their time and willingness to share their views.
Author Contributions
All authors contributed to data analysis, drafting or revising the article, gave final approval of the version, and agreed to be accountable for all aspects of the work.
Disclosure
The authors declare that they have no competing interests in this work.