Health Literacy of Mothers Regarding Associated Factors of Pre-Ruptured Membranes on Perinatal Outcomes at Thulamela B Clinics

Abstract

Pre-rupture of membranes prior labour initiation could complicate approximately 5% of pregnancies and could be associated with a high incidence of perinatal morbidity and mortality complications. The major complication could be cord compression resulting in hypoxia. The aim of this study was to assess the health literacy of lactating mothers regarding associated factors of pre-rupture of membranes on perinatal outcomes at Thulamela B clinics of Vhembe district. A quantitative research approach with a cross-sectional descriptive design was used. The study population comprised a total of 210 lactating mothers within 6 weeks post-delivery. Data were collected by the researcher through self-administered questionnaires. The IBM Statistical Package for Social Sciences (SPSS) version 25 was used for data analysis. The results are presented in the form of tables and graphs based on probability allowing judgement to be made on variables. Validity and reliability was ensured. Ethical clearance was obtained from the University of Venda Research Ethics Committee and permission to access health facilities from Limpopo Province Department of Health. Data revealed that maternal health literacy was very limited, implicated by low literacy level, culture, cluster family decision regarding health care, reliance on lay persons for health information and limited health information from health care professionals as evidenced by late booking, failure to recognize the significance of pre-ruptured membranes and delay in seeking health. Recommendations included emphasis on active participation and health information topic suggestions by obstetric clients; midwives to provide woman-centred care with health education being a norm; systems in organization to consider maternal health literacy extension to families and the community and also recommendations to policymakers to utilize media campaigns for promoting maternal health literacy.