Perceptions, knowledge and attitudes of women towards maternal deaths at Qaukeni Sub-district in OR Tambo Health District in Eastern Cape Province, South Africa

Abstract

BACKGROUND AND AIM: Maternal mortality is a global problem, with the risk of deathever present during pregnancy, labour and postnatal, particularly in developing countries. The purpose of the study was to explore the perceptions, knowledge and attitudes of women of child-bearing age concerning maternal deaths in Qaukeni Sub-District, Eastern Cape Province, South Africa. METHODS: A descriptive, contextual, exploratory research design was used to explore the perceptions, knowledge and attitudes of child-bearing-age women. Interviews were conducted with 21 purposively selected multiparous pregnant women. FINDINGS: Some of the participants knew signs and symptoms of pregnancy as well as danger signs during pregnancy such as haemorrhage, sepsis, high blood pressure and complications of unsupervised home deliveries; while others had little knowledge about these signs and symptoms. Some participants knew about the causes of maternal deaths and a number of them had beliefs that can be construed as myths. The use of herbal medications in pregnancy, such as gwarugwaru and mbelekisane, were highlighted as a problem in maternal health, with serious complications that can lead to maternal deaths. The participants have negative attitudes towards the clinics and hospitals due to the ill treatment they received from health professionals in labour wards, which may have led to the loss of lives of women and children. Lack of resources, unskilled traditional birth attendants, lack of accountability and responsibility by health professionals were contributory factors towards maternal deaths. CONCLUSIONS: Lack of resources, unskilled traditional birth attendants, lack of accountability and the irresponsibility of professional nurses and doctors were all pointed out by participants as either direct or indirect causes of maternal deaths. The recommendations include frequent in-service training for unskilled birth attendants, and the provisions of more professional nurses and doctors. Campaigns also need to be held to highlight the risks that women are exposed to during pregnancy, and the importance of early interventions