Somali immigrant women's perceptions of cesarean delivery and patient-provider communication surrounding female circumcision and childbirth in the USA
Somali immigrant women's perceptions of cesarean delivery and patient-provider communication surrounding female circumcision and childbirth in the USA
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DOI：
10.1016/j.ijgo.2011.07.019
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发表时间：
2011-12-01
影响因子：
3.8
通讯作者：
Raj, Anita
中科院分区：
文献类型：
--
作者：
Ameresekere, Maithri;Borg, Ryan;Raj, Anita
目的：通过对居住在美国的索马里妇女的采访，探讨对剖腹产和围绕女性割礼和分娩的医患沟通的看法。方法：半结构化的深入访谈进行了23索马里移民妇女生活在波士顿谁生在美国和非洲。访谈询问了美国和非洲的分娩经历，以及围绕分娩实践的规范和态度。访谈记录被编码，主题通过迭代过程确定。结果：参与者年龄在25-52岁之间，平均在美国生活了7年。所有妇女都接受过割礼。5名妇女进行了剖腹产。妇女害怕剖腹产，因为她们认为这可能导致死亡或残疾。妇女还强调，美国的服务提供者很少讨论女性割礼或它如何影响分娩经历。结论：以前的经验和文化信仰可以影响索马里移民妇女如何理解美国的分娩和分娩实践，并可以解释为什么有些妇女对剖腹产持谨慎态度。教育提供者和鼓励病人提供者沟通剖宫产和女性割礼可以减轻恐惧，增加信任，并改善出生的索马里移民妇女在美国的经验。(C)2011年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To explore perceptions of cesarean delivery and patient-provider communication surrounding female circumcision and childbirth through interviews with Somali women residing in the USA. Methods: Semistructured in-depth interviews were conducted with 23 Somali immigrant women living in Boston who had given birth in the USA and Africa. Interviews asked about birth experiences in the USA and Africa, as well as norms and attitudes surrounding childbirth practices. Interview transcripts were coded and themes identified through an iterative process. Results: Participants were aged 25-52 years and had been living in the USA for an average of 7 years. All women had experienced circumcision. Five women had undergone a cesarean delivery. Women feared having a cesarean because of their perception that it could result in death or disability. Women also highlighted that providers in the USA rarely discussed female circumcision or how it could affect childbirth experiences. Conclusions: Previous experiences and cultural beliefs can affect how Somali immigrant women understand labor and delivery practices in the USA and can explain why some women are wary of cesarean delivery. Educating providers and encouraging patient-provider communication about cesarean delivery and female circumcision can ease fears, increase trust, and improve birth experiences for Somali immigrant women in the USA. (C) 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.