A qualitative study of conceptions and attitudes regarding maternal mortality among traditional birth attendants in rural Guatemala.
(2004) In BJOG: An International Journal of Obstetrics & Gynaecology 111(12). p.1372-1377- Abstract
- 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.... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/133009
- author
- Rööst, Mattias LU ; Johnsdotter Carlbom, Sara LU ; Liljestrand, Jerker LU and Essén, Birgitta LU
- organization
- publishing date
- 2004
- type
- Contribution to journal
- publication status
- published
- subject
- in
- BJOG: An International Journal of Obstetrics & Gynaecology
- volume
- 111
- issue
- 12
- pages
- 1372 - 1377
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000225937300011
- scopus:10844238981
- ISSN
- 1471-0528
- DOI
- 10.1111/j.1471-0528.2004.00270.x
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Obstetrics and Gynaecology (013242700), Social Anthropology (012013002), Division of Social Medicine and Global Health (013241820), Pediatrics/Urology/Gynecology/Endocrinology (013240400)
- id
- 3f2f5029-32c7-4c51-b8e0-def609ce7fc8 (old id 133009)
- date added to LUP
- 2016-04-01 16:46:03
- date last changed
- 2022-05-08 20:30:47
@article{3f2f5029-32c7-4c51-b8e0-def609ce7fc8, abstract = {{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.}}, author = {{Rööst, Mattias and Johnsdotter Carlbom, Sara and Liljestrand, Jerker and Essén, Birgitta}}, issn = {{1471-0528}}, language = {{eng}}, number = {{12}}, pages = {{1372--1377}}, publisher = {{Wiley-Blackwell}}, series = {{BJOG: An International Journal of Obstetrics & Gynaecology}}, title = {{A qualitative study of conceptions and attitudes regarding maternal mortality among traditional birth attendants in rural Guatemala.}}, url = {{https://lup.lub.lu.se/search/files/4774099/624348.pdf}}, doi = {{10.1111/j.1471-0528.2004.00270.x}}, volume = {{111}}, year = {{2004}}, }