Challenges and Coping Strategies Adopted by Midwives in Nursing Patients With Eclampsia in a Low Resource Setting: A Qualitative Descriptive Study

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Abstract Objective: Eclampsia remains a public health issue, especially in low resource countries around the world, where approximately 63, 000 women die annually with young adolescence (ages 10-14) facing a higher risk of complication. Little is known about the challenges associated with the care of eclamptic clients. We sought to explore the challenges and coping strategies adopted by midwives in nursing patients with eclampsia in a low resource setting.Methods: This study employed an exploratory descriptive qualitative research design. A total of 8 midwives were purposively selected and individual interviews were conducted. Data were analysed through qualitative thematic analysis.Findings: From thematic data analysis two overarching themes emerged with six sub-themes. The two overarching themes were inadequate resources and coping strategies. The subtheme under inadequate resources includes a shortage of drugs, inadequate resuscitation equipment, and inadequate and inappropriate beds. The subtheme under coping strategies includes: coping with drug shortages, inadequate resuscitation equipment, and inadequate and inappropriate beds. Conclusion: Currently, the quest of midwives to promote and provide quality care for women with eclampsia faces some bottlenecks. These bottlenecks led to the adaptation of some coping strategies to provide care for women with eclampsia. One major coping strategy in the absence of drugs (MgSO4) was a referral to a higher health facility. They also borrowed equipment from neighbouring wards for resuscitation. Midwives improvised by admitting eclamptic women on the floor due to lack of beds. In times that they had beds without side rails patient relatives were asked to sit by the side of the bed to prevent falls in case of seizures.

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