Perceptions matter: barriers to treatment of postpartum hemorrhage

Journal of Midwifery & Women's Health
Sereen ThaddeusDonna Vivio

Abstract

Postpartum hemorrhage is the leading cause of maternal deaths in developing countries. This report highlights the social and cultural factors that influence the decision to seek care in cases of postpartum bleeding. Survey data on awareness of danger signs in the postpartum period and findings from the anthropologic literature describing beliefs about bleeding in childbirth and the postpartum period are presented. Findings point to a mismatch between actual and perceived risks of danger in the postpartum period. This may reflect a viewpoint that there are few risks remaining after the baby is born. This may, in turn, shape the perception that the postpartum period is one in which less vigilance is required compared with labor and birth. Such beliefs are important to consider, as they may influence timely seeking of emergency obstetric care. Efforts to reduce the incidence of postpartum hemorrhage as a major cause of maternal death must progress on two fronts: on the supply side to ensure the provision of skilled care and on the demand side to ensure that women and their families accept the view that bleeding after birth is dangerous and that skilled care is preferable to traditional care.

References

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Citations

Mar 9, 2013·Health Care for Women International·Yoko ShimpukuPamela D Hill
Dec 17, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·U SyedS Wall
Nov 1, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A PaxtonS Lobis
Nov 16, 2006·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Wendy SwordPaul Krueger
Sep 14, 2012·Journal of Paediatrics and Child Health·Alma M MartinezJohn Colin Partridge
Jun 24, 2005·Journal of Midwifery & Women's Health·Lynn SibleyVinod K Paul
Nov 8, 2014·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Juyeon Son
Jan 4, 2018·Journal of Health, Population, and Nutrition·Allisyn C MoranJames M Sherry
Jan 4, 2018·Journal of Health, Population, and Nutrition·Kumudha AruldasP S Mohanan
Jul 3, 2007·Journal of Midwifery & Women's Health·Lynn M SibleyMarge Koblinsky
Jul 7, 2017·Case Reports in Obstetrics and Gynecology·Maria MaldonadoBernard Gonik

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