Search Results (2)

Pregnancy is an exceptional event in a woman’s life. As a result of the intense pain associated with childbirth, women require encouragement and support during this crucial phase. Midwives play a crucial role in the maternal care paradigm, managing labour pain alongside ensuring the mother and baby’s safety during the labour process. This study explored midwives’ perspectives concerning the utilisation and barriers of non-pharmacological labour pain reduction methods during COVID-19 in Matjhabeng Municipality hospitals in South Africa’s Free State Province. Ten midwives participated in a semi-structured interview wherein the audio was recorded and transcribed verbatim. The data were analysed using Tesch’s approach for open-coding data analysis. Midwives’ experiences with non-pharmacological therapeutic options for relieving labour pain were varied. They used mobilisation techniques, warm bathing, deep breathing exercises, back massaging, and psychological support. Midwives affirmed that non-pharmacological labour pain interventions were poorly implemented because of staff shortages, heavy workload, and COVID-19 regulations at the time. In efforts to address the obstacles in managing labour pain and alleviate the pain of women during labour, midwives recommended the provision of education and advocacy, the employment of additional midwives and auxiliary staff, and improvement in hospital infrastructure. Due to staff shortages, heavy workloads, and COVID-19 restrictions that limit birth companions, non-pharmacological pain reduction methods are not properly implemented. Health education; employing additional midwives, professional doulas, and students; and improving health infrastructure are midwives’ concerns. Prioritising midwife training in non-pharmacological labour pain management is crucial for delivering the best possible care during childbirth. Full article

Northern Ethiopia is characterised by fragile mountain eco-systems that are highly susceptible to land degradation, impacting food security and livelihoods. This study appraises Land Use Land Cover Changes (LULCC) and their determinants from 2000 to 2020 in Dessie Zuria and Kutaber Woredas. It explores the LULCC and the key anthropogenic drivers of the change over the past 20 years through a mix of satellite imagery and a survey of local understandings. Six land use types (agriculture, forest, area closure, grazing, settlement and bare land) were mapped from satellite imagery that was acquired from Landsat 7 for the years 2000, 2005, and 2010, and Landsat 8 and OLI multispectral imageries for the years 2015 and 2020 with a spectral resolution of 30-m obtained from USGS. The results showed that agricultural land increased from 29.68% in 2000 to 35.77% in 2020.Furthermore, settlement and grazing lands enlarged from 5.95% and 6.04%, respectively, to 8.31% and 6.35% during the same period, while bare land increased from 9.89% to 10.92% in 2020. On the contrary, forest and area closure decreased from 18.45% and 29.99% to 17.8% and 17.38%, respectively. Meanwhile, population growth, unrestricted grazing, losing a sense of ownership of protected area closures and forests, lack of cooperation, using the free labour mobilisation schemes for government-induced agendas, weak enforcement of laws and bylaws, and engaging farmers for extended days on the campaign were prominent determinants of the changes. This research has implications for development actors across land management and food security towards implementing sustainable land management in the area and beyond. Full article