Abstract
Antenatal care is an important aspect of the mother and child health from conception to delivery of foetus. Woman’s physical and mental preparation is one of the main purposes of this care for a successful labor and delivery process. The midwives play an important role in antenatal care especially in remote areas of Pakistan, where the people are bound to cultural norms. Culture plays an important role in the treatment and care of every individual. It is much important for the healthcare providers only provide to culturally appropriate care but also to prevent the patient from any inappropriate care, in order to prevent unwanted consequences. This is also important for healthcare providers to maintain healthy and therapeutic relationship with their patients, which definitely influence health related outcomes. It is also the sole responsibility of the organization to educate and train its staff on cultural competence and cultural sensitivity so that patient satisfaction with care could be improved and there would be less room for undesirable consequences.
Highlights
Antenatal care is an important aspect of the mother and child health from conception to delivery of foetus
The midwives play an important role in antenatal care especially in remote areas of Pakistan, where the people are bound to cultural norms
The nurse-midwife being the most trusted healthcare provider for that patient was facing a conflict between her professional codes of ethics, in which she has to protect the rights of her patients, and on the other hand, she has to ensure the safety of the patient and her baby
Summary
A booked primi-gravida mother came to the health unit with labor pains Her progress was well; at the second stage of the labor, the midwife identified that the client needs an instrumental delivery. The client expressed to the midwife that, she was feeling very guilty and intensely ashamed, especially, in front of her family and husband She told the midwife that she would never come to this centre again rather she would prefer to die. After two years, during the labor of her second child, she refused to come to the same doctor, and opted to go to a remote referral unit that was too far from her home. The nurse midwife at the previous centre came to know about the patient and felt guilty about the previous forced decision on her by the family and health care team
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