@article{fdi:010070551,
  title = {{A}fraid of delivering at the hospital or afraid of delivering at home : a qualitative study of {T}hai {H}mong families' decision-making about maternity services},
  author = {{C}ulhane-{P}era, {K}.{A}. and {S}riphetcharawut, {S}. and {T}hawsirichuchai, {R}asamee and {Y}angyuenkun, {W}. and {K}unstader, {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}hailand has high rates of maternity services; both antenatal care ({ANC}) and hospital delivery are widely used by its citizens. {A} recent {N}orthern {T}hailand survey showed that {H}mong women used maternity services at lower rates. {O}ur objectives were to identify {H}mong families' socio-cultural reasons for using and not using maternity services, and suggest ways to improve {H}mong women's use of maternity services. {I}n one {H}mong village, we classified all 98 pregnancies in the previous 5 years into four categories: no {ANC}/home birth, {ANC}/home, no {ANC}/hospital, {ANC}/hospital. {W}e conducted life-history case studies of 4 women from each category plus their 12 husbands, and 17 elders. {W}e used grounded theory to guide qualitative analysis. {F}amilies not using maternity services considered pregnancy a normal process that only needed traditional home support. {I}n addition, they disliked institutional processes that interfered with cultural birth practices, distrusted discriminatory personnel, and detested invasive, involuntary hospital procedures. {F}amilies using services perceived physical needs or potential delivery risks that could benefit from obstetrical assistance not available at home. {W}hile they disliked aspects of hospital births, they tolerated these conditions for access to obstetrical care they might need. {F}amilies also considered cost, travel distance, and time as structural issues. {T}he families ultimately balanced their fear of delivering at home with their fear of delivering at the hospital. {P}roviding health education about pregnancy risks, and changing healthcare practices to accommodate {H}mong people's desires for culturally-appropriate family-centered care, which are consistent with evidence-based obstetrics, might improve {H}mong women's use of maternity services.},
  keywords = {{ANTHROPOLOGIE} {DE} {LA} {SANTE} ; {FEMME} ; {GROSSESSE} ; {SERVICE} {DE} {MATERNITE} ; {SOCIETE} {TRADITIONNELLE} ; {PROTECTION} {MATERNELLE} {ET} {INFANTILE} ; {THAILANDE}},
  booktitle = {},
  journal = {{M}aternal and {C}hild {H}ealth {J}ournal},
  volume = {19},
  numero = {11},
  pages = {2384--2392},
  ISSN = {1092-7875},
  year = {2015},
  DOI = {10.1007/s10995-015-1757-3},
  URL = {https://www.documentation.ird.fr/hor/fdi:010070551},
}