Gofaone Precious Kuduntwane

Sefako Makgatho Health Sciences University
South Africa

Abstract Title: Barriers to successful induction of labour at a district hospital in Tshwane- a midwife’s perspective.

Biography:

Gofaone Precious Kuduntwane holds a Master’s degree in Nursing from Sefako Makgatho Health Sciences University and is currently pursuing doctoral studies at the same institution. She serves as a Clinical Facilitator at MHR (Mediclinic-South Africa’s Nursing Agency) and aspires to an academic career in nursing education and research. Her qualifications include a Postgraduate Diploma in Nursing Education from the University of Johannesburg, reflecting her commitment to advancing evidence-based practice and professional development within healthcare settings.

Research Interest:

Induction of labour (IOL) is a common obstetric intervention aimed at initiating uterine contractions before spontaneous labour onset. While it is often life-saving, its success in resource-limited settings such as district hospitals in Tshwane is hindered by multiple barriers. This study explores these challenges from a midwife’s perspective. A qualitative review of midwifery experiences and institutional practices was conducted to identify systemic, clinical, and socio-cultural factors affecting IOL outcomes. Key barriers include inadequate resources and infrastructure, such as limited availability of induction agents and monitoring equipment; staffing shortages and high workloads leading to delayed assessments; and insufficient patient counseling, which contributes to anxiety and unrealistic expectations. Clinical challenges such as prolonged or failed inductions, often linked to unfavorable cervical conditions and maternal comorbidities, further complicate care. Resistance to evidence-based protocols, lack of multidisciplinary collaboration, and socio-cultural influences—such as myths and language barriers—also negatively impact IOL success. Improving resource allocation, recruiting skilled midwives, enhancing patient education, enforcing guideline adherence, and fostering collaborative care are essential strategies. Addressing socio-cultural considerations through patient-centred approaches can further optimize outcomes. Successful IOL in district hospitals requires a holistic approach that strengthens structural capacity, empowers midwives, and promotes evidence-based, culturally sensitive care. Implementing these measures can improve maternal and neonatal outcomes and enhance patient satisfaction in resource-constrained settings.