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2015, Number 3

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Revista Cubana de Salud Pública 2015; 41 (3)

Factors related to rural women's preferences for the traditional midwife

Laza VC

Language: Spanish
References: 17
Page: 487-496
PDF size: 123.33 Kb.


ABSTRACT

Introduction: the traditional midwife is a childbirth care provider who has consolidated her position in the rural areas of the developing countries.
Objective: to describe the factors having an impact on the rural women's preference for the traditional midwife.
Methods: qualitative documentary study. Several original articles published in Spanish, English and Portuguese and indexed in EBSCO, Pubmed, Ovid Health and ScienceDirect, Scielo, Cantarida, Lilacs were analyzed. The subject headings were traditional midwife, traditional childbirth care, childbirth at home, perception, experience, personal satisfaction, preference and qualitative research. The search covered the period of 2008 through 2013. The data treatment was based on the contents analysis.
Results: eleven studies conducted in Africa and Asia in rural settings and populations were included. Three categories were defined: economic reasons, traditional midwiferelated reasons, and health service aspects.
Conclusions: a fundamental factor found in the study is the economic restrictions that hinder the access to institutionalized childbirth care. Women trust traditional midwives because they are at short distance; belong to the same cultural group; the families and the community leaders exert pressure over the women so that they are cared for by this traditional agent. These elements together with low quality hospital services are additional factors that indicate female preferences for midwives in rural settings. It is then necessary to rethink over the best ways of filling the gaps between the health care sector and the traditional childbirth care for the benefit of the maternal and perinatal health.


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