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母亲和婴儿在产后期间的文化习俗:孟加拉国农村的一项定性研究。

Cultural Practices of Mothers and Babies during the Postnatal Period: A Qualitative Study in Rural Bangladesh.

机构信息

School of Health, Faculty of Medicine and Health, University of New England, Armidale, NSW 2351, Australia.

出版信息

Int J Environ Res Public Health. 2024 Oct 11;21(10):1344. doi: 10.3390/ijerph21101344.

DOI:10.3390/ijerph21101344
PMID:39457317
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11507931/
Abstract

This study describes the experiences of women in rural Bangladesh, and the cultural practices related to how they take care of themselves and their babies, in the early postnatal period. Data were gathered through immersion in the field for six months, participant observation, document collection and in-depth interview techniques to gain a deep understanding of women's everyday lives and practices during the postnatal period. In-depth interviews were undertaken with 28 mothers who had had at least one live child within the five years before the date of data collection, in village of the Barisal Division in Bangladesh. The key findings of this study highlight the role of culture in the experiences of women during the postnatal period, and reveal that cultural practices, beliefs and traditions are deeply embedded in the lives of rural women. This study focuses on cultural practices which have an effect on the choices of women regarding care and support from healthcare facilities. Culture, together with poverty and low levels of education, leads them to resist healthcare from a skilled birth attendant and encourages them to believe in and trust traditional care practices during the postnatal period. Therefore, the findings of this study may contribute to future policies, planning, programs and research in Bangladesh by providing an understanding of the importance of culturally and socially rooted traditional beliefs and cultural practices. These need to be addressed for maternal and newborn healthcare initiatives to be effective, particularly in rural Bangladesh.

摘要

本研究描述了孟加拉国农村地区妇女的经历,以及与她们在产后早期照顾自己和婴儿有关的文化习俗。研究数据通过六个月的实地沉浸、参与式观察、文献收集和深入访谈技术收集,以深入了解妇女在产后期间的日常生活和实践。在孟加拉国巴里萨尔分区的一个村庄中,对 28 名在数据收集日期前五年内至少有一个活产婴儿的母亲进行了深入访谈。这项研究的主要发现强调了文化在妇女产后经历中的作用,并揭示了文化习俗、信仰和传统深深植根于农村妇女的生活中。本研究重点关注对妇女选择医疗保健设施的护理和支持产生影响的文化习俗。文化、贫困和低教育水平使她们抵制来自熟练助产士的医疗保健,并鼓励她们在产后期间相信并信任传统护理习俗。因此,本研究的结果可能会为孟加拉国未来的政策、规划、项目和研究做出贡献,了解到文化和社会根源的传统信仰和文化习俗的重要性。在农村孟加拉国,特别是在农村孟加拉国,需要解决这些问题,以使产妇和新生儿保健举措取得成效。

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Cultural Practices of Mothers and Babies during the Postnatal Period: A Qualitative Study in Rural Bangladesh.母亲和婴儿在产后期间的文化习俗:孟加拉国农村的一项定性研究。
Int J Environ Res Public Health. 2024 Oct 11;21(10):1344. doi: 10.3390/ijerph21101344.
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本文引用的文献

1
Decision-making process in seeking antenatal care: A cohort study in a poor urban and a typical rural area in Bangladesh.寻求产前护理的决策过程:孟加拉国一个贫困城市和一个典型农村地区的队列研究。
J Glob Health. 2024 May 17;14:04097. doi: 10.7189/jogh.14.04097.
2
Assessing the Quality and Coverage of Maternal Postnatal Care in Bangladesh: A Comparative Analysis of Quality Postnatal Care among Home and Facility Births.评估孟加拉国产妇产后护理的质量和覆盖面:家庭分娩和机构分娩中优质产后护理的比较分析。
Int J Environ Res Public Health. 2024 Mar 18;21(3):359. doi: 10.3390/ijerph21030359.
3
Comparison of inequality in utilization of postnatal care services between Bangladesh and Pakistan: Evidence from the Demographic and Health Survey 2017-2018.孟加拉国和巴基斯坦利用产后护理服务不平等的比较:来自 2017-2018 年人口与健康调查的证据。
BMC Pregnancy Childbirth. 2023 Jun 22;23(1):461. doi: 10.1186/s12884-023-05778-0.
4
Factors Associated with Post-Natal Care Utilization among the Women of Reproductive age Group: Evidence from Bangladesh Demographic and Health Survey 2017-18.育龄妇女产后护理利用的相关因素:来自2017 - 18年孟加拉国人口与健康调查的证据
Health Serv Res Manag Epidemiol. 2022 Nov 7;9:23333928221136393. doi: 10.1177/23333928221136393. eCollection 2022 Jan-Dec.
5
Inequalities in women's utilization of postnatal care services in Bangladesh from 2004 to 2017.2004 年至 2017 年孟加拉国妇女利用产后护理服务的不平等状况。
Sci Rep. 2022 Feb 17;12(1):2747. doi: 10.1038/s41598-022-06672-z.
6
Exploring association between place of delivery and newborn care with early-neonatal mortality in Bangladesh.探讨孟加拉国分娩地点与新生儿护理对早期新生儿死亡率的关联。
PLoS One. 2022 Jan 27;17(1):e0262408. doi: 10.1371/journal.pone.0262408. eCollection 2022.
7
Barriers to accessing maternal health care services in the Chittagong Hill Tracts, Bangladesh: A qualitative descriptive study of Indigenous women's experiences.孟加拉国吉大港山区获取孕产妇保健服务的障碍:对土著妇女经历的定性描述研究。
PLoS One. 2020 Aug 11;15(8):e0237002. doi: 10.1371/journal.pone.0237002. eCollection 2020.
8
Maternal postnatal care in Bangladesh: a closer look at specific content and coverage by different types of providers.孟加拉国的产妇产后护理:深入探讨不同类型提供者的具体内容和覆盖范围。
J Glob Health Rep. 2019;3. doi: 10.29392/joghr.3.e2019004. Epub 2019 Jan 28.
9
Knowledge and involvement of husbands in maternal and newborn health in rural Bangladesh.孟加拉国农村地区丈夫对产妇和新生儿健康的知识和参与度。
BMC Pregnancy Childbirth. 2018 Jun 18;18(1):247. doi: 10.1186/s12884-018-1882-2.
10
Reasons for Preference of Home Delivery with Traditional Birth Attendants (TBAs) in Rural Bangladesh: A Qualitative Exploration.孟加拉国农村地区选择由传统接生员在家中接生的原因:一项定性探索
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