恐惧、内疚和债务：对布基纳法索西部非洲妇女剖腹产经历和看法的探索。
Fear, guilt, and debt: an exploration of women's experience and perception of cesarean birth in Burkina Faso, West Africa.
机构信息
Maternal and Reproductive Health Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Institut de Recherche pour le Développement, Burkina Faso, West Africa.
出版信息
Int J Womens Health. 2014 May 5;6:469-78. doi: 10.2147/IJWH.S54742. eCollection 2014.
BACKGROUND
This paper explores women's experience and perception of cesarean birth in Burkina Faso and its social and economic implications within the household.
METHODS
Five focus groups comprising mothers or pregnant women were conducted among residents of Bogodogo Health District in Ouagadougou to assess the perceptions of cesarean section (CS) by women in the community. In addition, 35 individual semistructured interviews were held at the homes of women who had just undergone CS in the referral hospital, and were conducted by an anthropologist and a midwife.
RESULTS
Home visits to women with CS identified common fears about the procedure, such as "once you have had a CS, you will always have to deliver by CS". The central and recurring theme in the interviews was communication between patients and care providers, ie, women were often not informed of the imminence of CS in the delivery room. Information given by health care professionals was often either not explicit enough or not understood. The women received insufficient information about postoperative personal hygiene, diet, resumption of sexual activity, and contraception. Overall, analysis of the experiences of women who had undergone CS highlighted feelings of guilt in the aftermath of CS. Other concerns included the feeling of not being a "good mother" who can give birth normally, alongside concerns about needing a CS in future pregnancies, the high costs that this might incur for their households, general fatigue, and possible medical complications after surgery.
CONCLUSION
Poor quality of care and the economic burden of CS place women in a multifaceted situation of vulnerability within the family. CS has a medical, emotional, social, and economic impact on poor African women that cannot be ignored. Managers of maternal health programs need to understand women's perceptions of CS so as to overcome existing barriers to this life-saving procedure.
背景
本文探讨了布基纳法索女性对剖宫产的体验和看法，以及其在家庭中的社会和经济影响。
方法
在瓦加杜古的博戈多戈卫生区进行了 5 个焦点小组，参与者为居民中的产妇或孕妇，以评估社区中女性对剖宫产的看法。此外，在转诊医院对刚刚接受剖宫产的女性进行了 35 次个人半结构访谈，由人类学家和助产士进行。
结果
对接受剖宫产的女性进行家访发现，她们普遍担心手术，例如“一旦你做了剖宫产，以后就只能剖了”。访谈中的核心和反复出现的主题是医患沟通，即医护人员通常不会告知产妇产房内即将进行剖宫产。医护人员提供的信息往往不够明确或无法理解。女性在术后个人卫生、饮食、恢复性生活和避孕方面获得的信息不足。总体而言，对接受剖宫产的女性经历的分析突出了她们在剖宫产手术后的内疚感。其他担忧包括感觉自己不是一个能正常分娩的“好母亲”，以及担心未来怀孕需要剖宫产、这可能给家庭带来高昂的费用、普遍疲劳和手术后可能出现的医疗并发症。
结论
医疗服务质量差和剖宫产的经济负担使女性在家庭中处于多方面脆弱的境地。剖宫产对贫困的非洲女性有医疗、情感、社会和经济方面的影响，不容忽视。孕产妇保健项目管理人员需要了解女性对剖宫产的看法，以克服这一救命程序目前存在的障碍。
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