Perceptions of Lesotho nurse-midwives regarding post-partum depression management

Abstract

Background: Effective post-partum maternal care is essential for the overall well-being of both the mother and the child. Postpartum depression (PPD) is a pervasive issue with profound implications for maternal health. However, a significant research gap exists concerning the perspectives of nurse-midwives on PPD within the context of Lesotho. Objectives: This study aimed to explore perceptions of nurse-midwives about PPD management at a tertiary care facility in Lesotho. Method: The study site was the Quthing Hospital, a government-funded healthcare facility situated in Lesotho’s southernmost district, Quthing. Employing a constructivist paradigm, the research adopted a qualitative, exploratory, descriptive and contextual design. Using purposive sampling, nine nurse-midwives participated in individual interviews. Results: Thematic analysis of the data resulted in three themes emerging namely: a lack of nurse midwifery empowerment, inadequate human and material resources and stigma on mental health issues. Conclusion: Nurse-midwives at a large tertiary care facility perceive PPD management through a multifaceted lens. Insights underscored the complexity of PPD and its ramifications for maternal care. Contribution: This study provides invaluable perspectives from nurse-midwives within a specific Lesotho context, laying the foundation for strategies to enhance PPD management and maternal mental healthcare.

Keywords

• perceptions
• nurse
• midwives
• post-partum depression
• maternity ward
• management