Webbsök sjukhusbiblioteken
 
A qualitative study of conceptions and attitudes regarding maternal mortality among traditional birth attendants in rural Guatemala. [Elektronisk resurs]
Komihåglistan är tom
Vis
Författare/Namn
Titel
  • A qualitative study of conceptions and attitudes regarding maternal mortality among traditional birth attendants in rural Guatemala. [Elektronisk resurs]
Anmärkning: Innehållsbeskrivning, sammanfattning
  • OBJECTIVE: To explore conceptions of obstetric emergency care among traditional birth attendants in rural Guatemala, elucidating social and cultural factors. STUDY: design Qualitative in-depth interview study. SETTING: Rural Guatemala. SAMPLE: Thirteen traditional birth attendants from 11 villages around San Miguel Ixtahuacán, Guatemala. METHOD: Interviews with semi-structured, thematic, open-ended questions. Interview topics were: traditional birth attendants' experiences and conceptions as to the causes of complications, attitudes towards hospital care and referral of obstetric complications. MAIN OUTCOME MEASURES: Conceptions of obstetric complications, hospital referrals and maternal mortality among traditional birth attendants. RESULTS: Pregnant women rather than traditional birth attendants appear to make the decision on how to handle a complication, based on moralistically and fatalistically influenced thoughts about the nature of complications, in combination with a fear of caesarean section, maltreatment and discrimination at a hospital level. There is a discrepancy between what traditional birth attendants consider appropriate in cases of complications, and the actions they implement to handle them. CONCLUSION: Parameters in the referral system, such as logistics and socio-economic factors, are sometimes subordinated to cultural values by the target group. To have an impact on maternal mortality, bilateral culture-sensitive education should be included in maternal health programs.
Ämne
Medarbetare
  • Johnsdotter, Sara Författare/medförfattare
  • Liljestrand, Jerker Författare/medförfattare
  • Essén, Birgitta Författare/medförfattare
Institutionsnamn
Värdpublikation
  • BJOG: An International Journal of Obstetrics and Gynaecology Blackwell Publishing ISSN 1470-0328 111:12, s. 1372-1377 111:12<1372-1377
Elektronisk adress och åtkomst (URI)
  • http://lup.lub.lu.se/record/133009/file/624348.pdf Fulltext, fritt tillgänglig
Antal i kö:
  • 0 (0)
 
*00003995naa a22003973a 4500
*00150495
*00520130119
*007cr||||||||||||
*008080901s2004    xx |||| s    |0|| 0|eng d
*0247 $a10.1111/j.1471-0528.2004.00270.x$2doi
*0247 $a000225937300011$2isi
*035  $a(SwePub)oai:lup.lub.lu.se:133009
*040  $a(SwePub)lu
*042  $9SwePub
*072 7$aart$2swepub-publicationtype
*072 7$aref$2swepub-contenttype
*1001 $aRööst, Mattias$4aut$0(SwePub:lu)med-mar
*24510$aA qualitative study of conceptions and attitudes regarding maternal mortality among traditional birth attendants in rural Guatemala.$h[Elektronisk resurs]
*5203 $8eng$aOBJECTIVE: To explore conceptions of obstetric emergency care among traditional birth attendants in rural Guatemala, elucidating social and cultural factors. STUDY: design Qualitative in-depth interview study. SETTING: Rural Guatemala. SAMPLE: Thirteen traditional birth attendants from 11 villages around San Miguel Ixtahuacán, Guatemala. METHOD: Interviews with semi-structured, thematic, open-ended questions. Interview topics were: traditional birth attendants' experiences and conceptions as to the causes of complications, attitudes towards hospital care and referral of obstetric complications. MAIN OUTCOME MEASURES: Conceptions of obstetric complications, hospital referrals and maternal mortality among traditional birth attendants. RESULTS: Pregnant women rather than traditional birth attendants appear to make the decision on how to handle a complication, based on moralistically and fatalistically influenced thoughts about the nature of complications, in combination with a fear of caesarean section, maltreatment and discrimination at a hospital level. There is a discrepancy between what traditional birth attendants consider appropriate in cases of complications, and the actions they implement to handle them. CONCLUSION: Parameters in the referral system, such as logistics and socio-economic factors, are sometimes subordinated to cultural values by the target group. To have an impact on maternal mortality, bilateral culture-sensitive education should be included in maternal health programs.
*653  $aMedicin
*653  $aMedicine
*653  $aSamhällsvetenskap
*653  $aSocial sciences
*7001 $aJohnsdotter, Sara$4aut$0(SwePub:lu)soc-sjo
*7001 $aLiljestrand, Jerker$4aut$0(SwePub:lu)smi-jli
*7001 $aEssén, Birgitta$4aut$0(SwePub:lu)obst-bes
*7102 $8swe$aLunds universitet.$bMedicin.$bInstitutionen för kliniska vetenskaper, Malmö.$bSektionen för Barn/Urologi/Kvinnosjukvård/Endokrinologi.$bObstetrik/Gynekologi.$0(SwePub:lu)
*7102 $8eng$aLund University.$bFaculty of Medicine.$bDepartment of Clinical Sciences, Malmö.$bPediatrics/Urology/Gynecology/Endocrinology.$bObstetrics and Gynaecology.$0(SwePub:lu)
*7102 $8swe$aLunds universitet.$bSamhällsvetenskap.$bSociologiska institutionen.$bSocialantropologi.$0(SwePub:lu)
*7102 $8eng$aLund University.$bSocial Sciences.$bDepartment of Sociology.$bSocial Anthropology.$0(SwePub:lu)
*7102 $8swe$aLunds universitet.$bMedicin.$bInstitutionen för kliniska vetenskaper, Malmö.$bSektionen för Psykiatri/Primärvård/Folkhälsa.$bFolkhälsa.$bSocialmedicin och global hälsa.$0(SwePub:lu)
*7102 $8eng$aLund University.$bFaculty of Medicine.$bDepartment of Clinical Sciences, Malmö.$bPsychiatry/Primary Care/Public Health.$bPublic Health.$bDivision of Social Medicine and Global Health.$0(SwePub:lu)
*7730 $tBJOG: An International Journal of Obstetrics and Gynaecology$dBlackwell Publishing$x1470-0328$g111:12, s. 1372-1377$q111:12<1372-1377
*85640$uhttp://lup.lub.lu.se/record/133009/file/624348.pdf$zFulltext, fritt tillgänglig$xfree
^
Det finns inga omdömen till denna titeln.
Klicka här för att vara den första som skriver ett omdöme.
Vis
Sänd till