000			06435nam a22003137a 4500
001			20240919110530.0
003			20240919110530.0
005			20240919111413.0
008			240919b |||||||| |||| 00| 0 eng d
028			_b Wurzburg Road 35, Premises, Post Code: 33102 |
028			_b P. O. Box 1464 Mwanza, Tanzania |
028			_b Phone: (255) 28-298-3384 |
028			_b Fax: (255) 28-298-3386 |
028			_b Email: vc@bugando.ac.tz |
028			_b Website: www.bugando.ac.tz
040			_cddc
041			_aEnglish
041			_aKiswahili
100			_e CUHAS/BSN/5001157/T/20 _q Tekla.A. Mwalongo.
245			_aExperience On Caring Among Women with Gastrochisiss Infant in Bugando Medical Centre.
260			_aMwanza, Tanzania | _bCatholic University of Health and Allied Sciences [CUHAS-Bugando] | _c2024.
300			_a48 Pages
300			_aIncludes References
520			_aAbstract: Gastroschisis GS is a type of structural congenital anomaly that occurs while a fetus is in the early stages of development that result in the abdominal wall having protrusion of abdominal contents ( small intestine ,large intestine and stomach) . And this can be treated through surgical interventions where by neonate who do not receive surgical care immediately after delivery end up losing their lives ,while those who survive require extensive medical care that requires additional hospitalization and comprehensive care . In Tanzania neonatal surgical care is available not in many hospitals. The experience of women with GS babies has not been previously studied in Tanzania . The objective of this study was to explore the lived experiences on challenges encountered by women with GS babies and her attitude on caring in Tanzania Bugando Medical Center . A qualitative study using Depth interview guide was conducted . women above 18 years old with GS babies and they were hospitalized are the one who depth interview was conducted to them . Data were transcribed , translated and then coded using a structured code -book. Thematic analysis was conducted fifteen women has interviewed because saturation point has reached .Four themes emerged from the data . They were “Emotional and Psychological impact” , “Challenges and Experiences in baby care” , “ Healthcare System and Support” , “Perceived Cause and Misconception” .On emotional and Psychological impact this affect these women in two ways initially after delivery and during hospitalization , These women they were experience challenges like being at hospital for a long time also difficulties facing their babies was among of challenges to these women but through sharing experience among themselves help these women to be comfortable and anxiety to be relived ,also mostly of these women they were unaware with what they carry during pregnancy as result create shock ,fear Suprise to many women and family after delivery and these women need support from family and community in term of financially , emotionally and spiritually .Also there is a lot of misconception and perceived causes concerning with this problem of GS to these women like some of them they think this problem was due to premature labor , prolonged labor pain , heavy work ,strong push and beliefs its Gods will as the result makes poor cooperation on caring between health care provider and women because the way women perceive the condition is different as the health care provider perceive ,therefore if these two people do not work together it is very easy the survival rate of these babies to be low because both of them are keys on making these babies are survival. Methodology: This was Phenom logical qualitative research was conducted. The study explore experience the lived experience and attitude on caring to women with GS babies by using depth interview, whereby it was involving fifteen women with GS babies for a period of one month at Bugando Medical Center (BMC) a collected Data were transcribed, translated, coded, analyzed by using thematic analysis Results: This study reported that none of women who attend interview was aware before delivery had GS babies, as the result after delivery they were presented with shock, fear , anxious ,Also none of women has pre knowledge concerning with GS before delivery, also the study report women perception on causes and misconception on GS and the study reported how these women need support finically and emotionally. Conclusion: These studies highlight the complex emotional, Psychological and practical challenges experienced by mothers of GS babies in LMIC setting as well as the importance of early diagnosis, family support and compassionate care.Understanding the experiences of parents as they cope with providing care for their children with GS would help guide future interventions to advance the quality of health services and improve the survivability of GS in Tanzania. The stress and challenges experienced by the parents began at the moment the babies were born with the condition without any prior information or preparation. And the burden extended beyond the duration of the hospital stay. The parents were generally grateful for the care they had received from the healthcare providers. Their religious and spiritual faith, support from other parents with similar experiences, and the recovery of their children had provided positivity to the situation. Some, nevertheless, had experienced a lack of support from the family and community, mostly due to misconceptions about GS, or congenital conditions in general. Their financial burden was substantial and that continued to affect them. Better antenatal screening can help early identification of such congenital conditions, and in turn, guide their birth preparedness. Community awareness to dispel the misconceptions about GS, or congenital conditions in general, is needed. Health care providers should consider providing adequate information to these women while they are at the hospital concerning with their babies prognosis while they at hospital.
600			_x Community, Maternal and Child Health
700			_qAnna Sangito Pallangyo
856			_zResearch Report Submitted in Partial Fulfillment of the Requirements for Award of Bachelor of Science in Nursing Degree of the Catholic University of Health and Allied Sciences.
942			_2ddc _cCR _n0
999			_c28764 _d28764