Browsing by Author "Dutton, Jessica"
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Item Barriers to accessing maternal health care amongst pregnant adolescents in South Africa: a qualitative study(Springer Nature, 2020) Erasmus, Michelle Olivia; Knight, Lucia C.; Dutton, JessicaThis study explores the barriers to accessing antenatal care (ANC) services amongst pregnant adolescents within a particular community of South Africa. Methods: An exploratory qualitative design was applied to examine the views of pregnant adolescents. In-depth interviews were conducted with pregnant adolescents at the Mitchells Plain Midwifery Obstetric Unit, as well as nursing staff working at the facility. Thematic analysis was then used and analysis was framed using the social–ecological model for health-seeking behaviour. Results: This study found that barriers to adolescents seeking ANC often centered on a discourse of adolescent pregnancy being deviant, irresponsible, and shameful. Pregnant adolescents often absorbed these beliefs and were fearful of other’s reaction within their family, the community, at school, and within the ANC facilities. Conclusions: Stigma regarding adolescent pregnancy participates in the perpetuation of a culture of non-disclosure and shame, which stands in the way of young pregnant people seeking the care they require. Such beliefs and attitudes need to be challenged at a community and national level.Item What drives obstetric violence amongst nurses and midwives throughout the continuum of maternal health care in governmental hospitals and antenatal clinics in urban Western Cape(University of the Western Cape, 2022) Dutton, Jessica; Knight, LuciaObstetric violence is a particular form of gender-based violence that harms women physically, emotionally and psychologically. Obstetric violence has been reported throughout South Africa in both the public and private health sectors across the continuum of maternal health care. In the efforts to eradicate obstetric violence within South African maternal healthcare, we require a better understanding of what drives this phenomenon in this context. The perspective of nurses and midwives is indispensable in developing this understanding.