{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:51:06Z","timestamp":1782399066666,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The labor care guide (LCG) is a new tool for monitoring labor, introduced to replace the partograph, which had been used improperly and inconsistently across various contexts. Early research suggests that healthcare practitioners view the LCG as a tool that enhances the quality of care during labor and delivery. The aim of this study was to explore midwives' perceptions and experiences of using the LCG at two state hospitals in the Khomas region, Namibia. This study employed a qualitative transcendental (descriptive) phenomenology design. Purposive sampling and maximum variation sampling were applied. A total of 10 midwives' participated in the study. Data were collected through semi\u2010structured in\u2010depth interviews and analyzed using thematic analysis grounded in descriptive phenomenology. The study revealed the following four themes; midwives' experiences in transitioning from partographs to LCG in practice, midwives' perceptions of the LCG and adaptation into practice, challenges related to the implementation and use of LCG by midwives' and navigating from incompetence to an expert in using the LCG implication to practice. Despite some negative perceptions, midwives' found the LCG to be a valuable tool in managing labor. However, they recommended appropriate training and some context\u2010based adjustments to enhance effective utilization.<\/jats:p>","DOI":"10.1002\/ijgo.71184","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:21:08Z","timestamp":1782397268000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions and experiences of midwives' regarding the use of\u00a0the labor care guide at two state hospitals in Khomas region,\u00a0Namibia"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4447-9211","authenticated-orcid":false,"given":"Amalia N. N.","family":"Ilonga","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences Welwitchia University  Windhoek Namibia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takaedza","family":"Munangatire","sequence":"additional","affiliation":[{"name":"Department of Nursing University of Namibia  Rundu Namibia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.bpobgyn.2020.03.010","article-title":"Use of the partograph \u2010 current thinking","volume":"67","author":"Lavender T","year":"2020","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","DOI":"10.1186\/s12978-021-01074-2","article-title":"The development of the WHO labor care guide: an international survey of maternity care providers","volume":"18","author":"Pingray V","year":"2021","journal-title":"Reprod Health"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2020\/3738673","article-title":"Low utilisation of partograph and its associated factors among obstetric care providers in governmental health facilities at west Shoa zone, Central Ethiopia. Int","volume":"2020","author":"Bedada KE","year":"2020","journal-title":"J Reprod Med"},{"key":"e_1_2_11_5_1","first-page":"1","article-title":"An exploration of midwives' views of the latest World Health Organization labor care guide","volume":"15","author":"Laisser R","year":"2021","journal-title":"Am J Med"},{"key":"e_1_2_11_6_1","unstructured":"World Health Organization.WHO labor care guide: user's manual [WHO website].2020https:\/\/www.who.int\/publications\/i\/item\/9789240017566"},{"key":"e_1_2_11_7_1","unstructured":"Diciembre.Launch of the WHO labor care guide and user's manual.2020.https:\/\/fundaredmaterna.org\/2020\/12\/01\/launch\u2010of\u2010the\u2010who\u2010labour\u2010care\u2010guide\u2010and\u2010users\u2010manual\/."},{"key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"1658","DOI":"10.1111\/1471-0528.16694","article-title":"WHO next\u2010generation partograph: revolutionary steps towards individualised labor care","volume":"128","author":"Hofmeyr G","year":"2021","journal-title":"Int J Gynaecol Obstet"},{"key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1111\/birt.12511","article-title":"Usability, acceptability, and feasibility of the World Health Organization labor care guide: a mixed\u2010methods, multicountry evaluation","volume":"48","author":"Vogel JP","year":"2020","journal-title":"Birth"},{"key":"e_1_2_11_10_1","unstructured":"United Nations Development Programme.Background on the Goals: United Nations Development Programme [UNDP Website].2024.https:\/\/www.undp.org\/sdg\u2010accelerator\/background\u2010goals"},{"key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/S40037-019-0509-2","article-title":"How phenomenology can help us learn from the experiences of others","volume":"8","author":"Neubauer B","year":"2019","journal-title":"Perspect Med Educ"},{"key":"e_1_2_11_12_1","volume-title":"Phenomenological Approaches to Research","author":"Gill MJ","year":"2020"},{"key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1002\/nop2.275","article-title":"Qualitative thematic analysis based on descriptive phenomenology","volume":"6","author":"Sundler AJ","year":"2019","journal-title":"Nurs Open"},{"key":"e_1_2_11_14_1","doi-asserted-by":"crossref","DOI":"10.1016\/0147-1767(85)90062-8","volume-title":"Naturalistic Inquiry","author":"Lincoln Y","year":"1985"},{"issue":"1","key":"e_1_2_11_15_1","first-page":"26","article-title":"Expanding approaches for research: understanding and using trustworthiness in qualitative research","volume":"44","author":"Stahl NA","year":"2020","journal-title":"J Dev Educ"},{"key":"e_1_2_11_16_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.xagr.2022.100075","article-title":"Impact of WHO labor care guide on reducing cesarean sections at a tertiary center: an open\u2010label randomized controlled trial","volume":"2","author":"Pandey D","year":"2022","journal-title":"AJOG Glob Rep"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.71184","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:21:19Z","timestamp":1782397279000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.71184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":15,"alternative-id":["10.1002\/ijgo.71184"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.71184","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,25]]},"assertion":[{"value":"2026-01-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ijgo.71184"}}