Gélinas Emilie, Samb Oumar Mallé
Department of Health Sciences, Université du Québec en Abitibi-Témiscamingue, 445 boul. de l'Université, Rouyn-Noranda, Québec J9X 5E4, Canada.
Department of Health Sciences, Université du Québec en Abitibi-Témiscamingue, 445 boul. de l'Université, Rouyn-Noranda, Québec J9X 5E4, Canada.
Women Birth. 2023 Feb;36(1):e93-e98. doi: 10.1016/j.wombi.2022.04.015. Epub 2022 May 4.
In efforts to improve the quality of women's care and enhance related experiences in Senegal, the Senegalese government implemented an intervention named "humanized childbirth" in their health facilities.
To analyze the social acceptability of humanized childbirth as well as its relevance given the social values in Senegal.
A multiple-case study was conducted within four health facilities in Dakar. Breastfeeding mothers (n = 20), pregnant women (n = 4), midwives (n = 8), Bajenu Gox (n = 4), members of the Health Development Committee (n = 4), and men from the community (n = 4) were interviewed individually, and a documentary analysis was done. The thematic analysis was performed using the acceptability theoretical framework.
The results show that most participants agreed with the idea of humanized childbirth. However, participants display varying viewpoints as to the social acceptability of various components of the intervention. While there is an overall agreement concerning the benefits of motivated and attentive health professionals focused on prevention, restoring dignity for the parturient woman, freedom to eat and drink, massages and relaxation, the same cannot be said about the freedom of choice for birth positions and companionship.
The contrasting viewpoints as to the acceptability of humanized childbirth can be explained by the perception of risk and lack of experience with free birthing positions, as well as structural and cultural barriers surrounding the notion of companionship.
Education and awareness of the benefits of free birthing positions and companionship would be required among Senegalese women to enable a cultural shift in maternity wards in Senegal.
为提高塞内加尔妇女护理质量并改善相关体验，塞内加尔政府在其医疗机构实施了一项名为“人性化分娩”的干预措施。
分析人性化分娩在塞内加尔的社会可接受性及其与社会价值观的相关性。
在达喀尔的四个医疗机构内进行了多案例研究。对20名母乳喂养母亲、4名孕妇、8名助产士、4名巴杰努·戈克斯、4名健康发展委员会成员和4名社区男性进行了单独访谈，并进行了文献分析。使用可接受性理论框架进行主题分析。
结果表明，大多数参与者赞同人性化分娩的理念。然而，参与者对干预措施各组成部分的社会可接受性存在不同观点。虽然对于积极主动且专注于预防的医护人员、恢复产妇尊严、饮食自由、按摩和放松等方面的益处存在总体共识，但对于分娩姿势选择和陪伴的自由却并非如此。
对人性化分娩可接受性的不同观点可以通过对风险的认知、缺乏自由分娩姿势的经验以及围绕陪伴概念的结构和文化障碍来解释。
塞内加尔妇女需要接受关于自由分娩姿势和陪伴益处的教育并提高认识，以便在塞内加尔的产科病房实现文化转变。
