1 Clemson University, Clemson, SC, USA.
2 Clemson University, Greenville, SC, USA.
J Transcult Nurs. 2018 Sep;29(5):465-472. doi: 10.1177/1043659617750260. Epub 2018 Jan 1.
Almost 830 women die daily in childbirth with 550 of those deaths occurring in sub-Saharan Africa. This region has the highest maternal mortality rates in the world with 546 deaths per 100,000 live births. Research must focus on understanding cultural beliefs and practices to improve maternal health outcomes. The purpose of this review is to provide evidence of relevant cultural beliefs and the impact on birth outcomes for women in sub-Saharan Africa.
Using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, the literature focused on 25 articles that defined, directly or indirectly, associations of cultural values, beliefs, and lifeways to pregnancy and birth from the perspective of women of childbearing age.
Three relevant categories emerged from the literature: birth outcomes, maternal care-seeking, and maternal culture care.
Women's voices and an understanding of cultural constructs of care are required to encourage the use of biomedical health system along with the use of indigenous practices.
全球每天约有 830 名女性死于分娩，其中 550 人来自撒哈拉以南非洲地区。该地区的孕产妇死亡率全球最高，每 10 万例活产中有 546 例死亡。研究必须侧重于了解文化信仰和习俗，以改善孕产妇健康结局。本综述旨在提供撒哈拉以南非洲地区妇女相关文化信仰及其对生育结果影响的证据。
使用 PRISMA（系统评价和荟萃分析的首选报告项目）指南，文献重点关注了 25 篇文章，这些文章从育龄妇女的角度直接或间接地定义了文化价值观、信仰和生活方式与怀孕和分娩的关联。
文献中出现了三个相关类别：生育结果、产妇寻求医疗保健和产妇文化关怀。
需要倾听妇女的声音，了解文化关怀结构，以鼓励在使用生物医学卫生系统的同时，也使用本土做法。
