Horizon / Plein textes La base de ressources documentaires de l'IRD



Publications des scientifiques de l'IRD

Pourette Dolores, Pierlovisi C., Randriantsara R., Ralcotomanana E., Mattern C. (2018). Avoiding a "big" baby : local perceptions and social responses toward childbirth-related complications in Menabe, Madagascar. Social Science and Medicine, 218, 52-61. ISSN 0277-9536

Accès réservé (Intranet IRD) Demander le PDF

Lien direct chez l'éditeur doi:10.1016/j.socscimed.2018.10.002

Avoiding a "big" baby : local perceptions and social responses toward childbirth-related complications in Menabe, Madagascar
Année de publication2018
Type de documentArticle référencé dans le Web of Science WOS:000450382800007
AuteursPourette Dolores, Pierlovisi C., Randriantsara R., Ralcotomanana E., Mattern C.
SourceSocial Science and Medicine, 2018, 218, p. 52-61. ISSN 0277-9536
RésuméIn Madagascar, a country where over 60% of deliveries are not attended by a healthcare professional, late or inadequate responses to complications during childbirth account for a great number of maternal deaths. In this article, we analyse local perceptions of birth-related risks and strategies used to avoid these risks or manage complications of childbirth. We conduct this analysis in light of the social meanings of childbirth and the social expectations placed upon women in a context of socio-economic vulnerability and a challenged public health system. We conducted two separate studies in the district of Morondava (Menabe region) in June 2014 and March 2015, comprising semi-directive interviews with 111 people (59 mothers, 18 members of their immediate entourage and 34 institutional or healthcare stakeholders), and eight focus groups discussions two with community leaders, and six with fathers. The results show that the social pressure exerted on women to give birth without complications leads them to practices aimed at avoiding a "big" baby including dietary restrictions, physical activity, and refusal of iron supplementation intake. During pregnancy, women are usually accompanied by a traditional birth attendant or matron (reninjaza). Further, they use the public health system by attending antenatal consultations. However, women are reluctant to deliver in a health facility, where the practices of health professionals are in discordance with the social realities of women and local beliefs around childbirth. If complications arise, they are explained by social causes. The parturient woman is only taken to a healthcare facility after carrying out rituals and if the problems do not resolve themselves. These findings support recommendations to reduce the cultural distance between health workers and childbearing women, strengthen the collaborations with reninjazas, and inform women and their decision makers (mother, reninjaza, spouse) about nutrition during pregnancy and signs of complications.
Plan de classementSociété, développement social [106] ; Santé : généralités [050]
LocalisationFonds IRD [F B010074477]
Identifiant IRDfdi:010074477
Lien permanenthttp://www.documentation.ird.fr/hor/fdi:010074477

Export des données

Disponibilité des documents

Télechargment fichier PDF téléchargeable

Lien sur le Web lien chez l'éditeur

Accès réservé en accès réservé

HAL en libre accès sur HAL

Accès aux documents originaux :

Le FDI est labellisé CollEx

Accès direct

Bureau du chercheur

Site de la documentation

Espace intranet IST (accès réservé)

Suivi des publications IRD (accès réservé)

Mentions légales

Services Horizon

Poser une question

Consulter l'aide en ligne

Déposer une publication (accès réservé)

S'abonner au flux RSS

Voir les tableaux chronologiques et thématiques

Centres de documentation


Montpellier (centre IRD)

Montpellier (MSE)









La Paz