Endangering safe motherhood in Mozambique: prenatal care as pregnancy risk

Chapman, Rachel R.

doi:10.1016/s0277-9536(02)00363-5

Cited by 108 publications

(124 citation statements)

References 30 publications

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“…delay in deciding to seek care, delay in reaching a first health facilities and delay in receiving care after arriving at health facility. [35][36][37] Factors influencing decisionmaking to seek care under emergency conditions are women's status in the family, perceived severity of the complication, societal expectations, culture and tradition, long distance to health facility, lack of transport, dissatisfaction with providers, user fee and so on. The delay in the decision-making to seek emergency obstetric care contributes to one-third maternal deaths which is distinctly higher in rural areas as compared to urban areas.…”

Section: Barriers Of Emergency Obstetric Carementioning

confidence: 99%

Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries

Bhandari

Dangal

2014

Nepal j. obstet. gynaecol.

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Twenty-five years have passed since the global community agreed in Nairobi to address the high maternal mortality by implementing the Safe Motherhood Initiative. However, every year nearly three million women die due to pregnancy related causes. This tragedy is avoidable if women have timely access to required emergency obstetric care.Emergency obstetric care refers to life-saving services for maternal and neonatal complications provided by skilled health workers. Since the beginning of the 1980's, several efforts have been intensified to improve maternal and child health status and reducing the high morbidity and mortality. There was built on a worldwide consensus to provide improved maternal and child health care for addressing the high morbidity and mortality. All participant countries agreed to integrate emergency obstetric care services in their national health care system. Emergency obstetric care is one of the strategies for reducing the maternal mortality as pregnancy related complications are unpredictable. However, many women in developing countries do not have access to essential health care services including emergency obstetric care. Basic emergency obstetric care by skilled birth attendants or timely referral for further comprehensive emergency obstetric care can reduce maternal deaths and disabilities significantly. This paper is based on the results published in PubMed, Medline, Lancet, WHO and Google Scholar web pages from 1990 to 2013.

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Section: Barriers Of Emergency Obstetric Carementioning

confidence: 99%

Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries

Bhandari

Dangal

2014

Nepal j. obstet. gynaecol.

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“…However, studies indicate that they only start visiting a clinic at 26-27 weeks of gestation. Chapman (2003) indicates that women in Mozambique maintain that delaying antenatal care protects the unborn fetus from human and spiritual harm.…”

Section: Pregnant Womanmentioning

confidence: 99%

Indigenous beliefs and practices that influence the delayed attendance of antenatal clinics by women in the Bohlabelo district in Limpopo, South Africa

Ngomane

Mulaudzi

2012

Midwifery

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a b s t r a c tObjective: to explore and describe the indigenous beliefs and practices that influence the attendance of antenatal clinics by women in the Bohlabelo district in Limpopo, South Africa Research design and methods: a qualitative design was used to enable participants to share their beliefs and practices in their own words. Purposive sampling was used. Setting: women who were attending antenatal clinics for the first time were targeted. Data were collected via unstructured in-depth interviews. Twelve women were interviewed. Findings: the findings were grouped into six main categories: pregnancy is a honour; pregnancy needs to be preserved; the unborn infant is protected; the knowledge that clients have; trust in indigenous perinatal practices; and perceptions regarding clinic or hospital services. It became clear that the indigenous beliefs and practices of pregnant women have an influence on their attendance of antenatal clinics. For example, factors such as fear of bewitchment cause delayed attendance of antenatal clinics. Women use herbs to preserve and protect their unborn infants from harm. They also trust the knowledge of traditional birth attendants, and prefer their care and expertise to the harsh treatment that they receive from midwives in hospitals and clinics who look down on their indigenous beliefs and practices. Conclusions: it is recommended that indigenous beliefs and practices should be incorporated into the midwifery curriculum, so that the health sector is able to meet the needs of all members of the community.

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“…Anthropologists have written libraries full of the ways in which societies control women's reproductive functions (Walle and Renne 2001). Ethnographies describe how women are expected to hide signs of menstrual blood, which is iconic of failed conception (Buckley and Gottlieb 1988;Masqeullier 2011), and conceal pregnancy because of fears of witchcraft and bad spirits -presenting a pregnancy too explicitly might draw attention from a host of potentially harmful individuals, including jealous neighbours, resentful infertile women, female rivals sexually involved with their partner or prospective birth attendants (Chapman 2003). Men, in contrast, are expected to be sexually potent (and therefore promiscuous) and provide economically for their families.…”

Section: Secrecy As Embodied Practicementioning

confidence: 99%