Françoise Légey and Childbirth in Morocco

2021 ◽  
Vol 39 (1) ◽  
pp. 34-58
Author(s):  
Jonathan G. Katz
Keyword(s):  
Healthcare Providers ◽  
Maternity Hospital ◽  
Women Physicians ◽  
Medical Pluralism ◽  
Indigenous Medicine ◽  
Muslim Majority ◽  
Moroccan Women ◽  
European Women

The pioneering French doctor Françoise Entz Légey (1876-1935) devoted her career in Algeria and Morocco to women’s healthcare. Much acclaimed in her lifetime, and remembered today largely for her two books on Moroccan folklore, Légey established in Marrakesh a maternity hospital and a milk dispensary. She also embarked on a plan to instruct “modern” midwives to replace indigenous matrones and sages-femmes, known in Arabic as qablas. While Protectorate policy afforded opportunities to European women physicians like Légey, it simultaneously undermined the authority of indigenous Moroccan women healthcare providers. Efforts by Légey and other European physicians to supplant indigenous medicine with biomedicine ultimately contributed to the landscape of medical pluralism that prevails today. Moreover, European medicine disproportionately attracted the Jewish minority and further contributed to Jewish alienation from the Muslim majority.

Françoise Légey and Childbirth in Morocco

2021 ◽  
Vol 39 (1) ◽  
pp. 34-58
Author(s):  
Jonathan G. Katz
Keyword(s):  
Healthcare Providers ◽  
Maternity Hospital ◽  
Women Physicians ◽  
Medical Pluralism ◽  
Indigenous Medicine ◽  
Muslim Majority ◽  
Moroccan Women ◽  
European Women

Abstract The pioneering French doctor Françoise Entz Légey (1876-1935) devoted her career in Algeria and Morocco to women's healthcare. Much acclaimed in her lifetime, and remembered today largely for her two books on Moroccan folklore, Légey established in Marrakesh a maternity hospital and a milk dispensary. She also embarked on a plan to instruct “modern” midwives to replace indigenous matrones and sages-femmes, known in Arabic as qablas. While Protectorate policy afforded opportunities to European women physicians like Légey, it simultaneously undermined the authority of indigenous Moroccan women healthcare providers. Efforts by Légey and other European physicians to supplant indigenous medicine with biomedicine ultimately contributed to the landscape of medical pluralism that prevails today. Moreover, European medicine disproportionately attracted the Jewish minority and further contributed to Jewish alienation from the Muslim majority.

scholarly journals Perceptions about caesarean section among women and health care providers: a qualitative study in a rural maternity hospital in Karnataka, India

2020 ◽  
Vol 9 (2) ◽  
pp. 646
Author(s):  
Teny Attokaran ◽  
Merlyn Joseph ◽  
Ramya B. ◽  
Caroline Pretista D’souza ◽  
Soumya . ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Caesarean Section ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Family Members ◽  
Maternity Hospital ◽  
Care Providers ◽  
Framework Analysis ◽  
Postnatal Women

Background: Caesarean section is life-saving, but rising rates are a cause for concern. Perceptions surrounding caesarean delivery may play a significant role in the shared-decision making process. Objective of this study was to explore the perceptions of caesarean section among antenatal, postnatal women and healthcare providers in a rural maternity hospital in Ramanagara district, Karnataka.Methods: Qualitative research methodology was adopted to explore perceptions regarding preferred birthing mode, caesarean and its perceived complications. Focus group discussions and in-depth interviews were conducted with antenatal and postnatal women, their caregivers and health care providers. Inductive coding approach and thematic framework analysis was done.Results: Five major themes emerged regarding perceptions of caesarean section among women in a rural area of Karnataka: understanding, fears, decision making, after-care and prevention. Women had a strong preference for normal vaginal birth, but willing to accept doctor’s decision for caesarean as they believed that it would protect the life of unborn child. Women perceived that caesarean was profitable to the hospital. Common mentioned side effects following caesarean were backache and pain at the surgical site.Conclusions: The understanding regarding caesarean section was adequate. Women had fears linked to caesarean such as pain, inability to work, weight gain, prolonged recovery and caesarean deliveries in subsequent pregnancies. Husbands and other family members as well as the doctors were the important decision makers, while the women themselves had little say in the matter. Obstetricians need to focus on alleviating concerns among pregnant women and their family members regarding caesarean section.

scholarly journals Factors Influencing Parental Awareness about Newborn Screening

2019 ◽  
Vol 5 (3) ◽  
pp. 35
Author(s):  
Věra Franková ◽  
Alena Dohnalová ◽  
Karolína Pešková ◽  
Renata Hermánková ◽  
Riona O’Driscoll ◽  
...  
Keyword(s):  
Czech Republic ◽  
Newborn Screening ◽  
Parental Education ◽  
Healthcare Providers ◽  
Maternity Hospital ◽  
The Czech Republic ◽  
Parental Awareness ◽  
Parity Number ◽  
Child Health Status ◽  
The Impact

Appropriate and timely education about newborn screening (NBS) helps to foster benefits such as prompt follow up, to promote parents’ autonomy via informed consent and minimize the harms such as reducing the impact of NBS false-positive results. The aim of this study was to ascertain how mothers are informed about NBS in the Czech Republic and to identify the variables associated with awareness about NBS. The questionnaires evaluating awareness and its determinants were mailed to a random sample of 3000 mothers 3 months post-delivery. The overall response rate was 42%. We analysed 1100 questionnaires and observed that better awareness about NBS was significantly associated with age, parity, number of information sources, child health status, size of maternity hospital and an obstetrician as the source of prenatally obtained information. Although the majority of mothers (77%) in our study recalled being informed by a physician or nurse in the neonatal ward, results have revealed that over 40% of participants did not have sufficient awareness about the principal aspects of NBS. Several measures including seminars for healthcare providers and the development and distribution of new educational materials were adopted to improve parental education about NBS in the Czech Republic.

scholarly journals Knowledge on Newborn Life Support among the Healthcare Providers in a Tertiary Care Maternity Hospital in the Southern Province, Sri Lanka

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
N. D. Liyanarachchi ◽  
B. H. H. Pradeepa
Keyword(s):  
Sri Lanka ◽  
Life Support ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Maternity Hospital ◽  
Good Knowledge ◽  
Southern Province ◽  
Maternity Hospitals ◽  
Significant Difference ◽  
The Difference

Introduction. The newborn life support (NLS) is a set of educational guidelines established by the academies of Paediatrics that outline the proper procedures for resuscitation of a newborn. The objective of this study was to determine the knowledge on NLS among the healthcare providers (HCPs) in a tertiary care maternity hospital in the Southern Province, Sri Lanka. Methods. A hospital-based cross-sectional study was carried out among doctors, nurses, and midwives, using a self-administered questionnaire. Comparison of knowledge among different categories was made using the chi-square test. Total sample of 191 consisted of 118 (61.8%) nurses, 33 (17.3%) midwives, and 36 (18.8%) doctors. The majority of HCPs (76.7%) had good knowledge of NLS; however, following guidelines on NLS among HCPs was poor (33%). According to the category, 91% of doctors and 78% of nurses had good knowledge, whereas only 48% of midwives had good knowledge. The difference of knowledge on NLS among different categories of HCPs was statistically significant ( p < 0.001 ). Only 33% of HCPs had good knowledge of following NLS guidelines. Of them, 52% were doctors, 31% were nurses, and only 18% were midwives. The difference in adherence to NLS guidelines among different categories of HCPs was highly significant statistically ( p = 0.003 ). Conclusion. The majority of the healthcare providers had good knowledge of NLS. There was a significant difference in the level of knowledge on NLS among different categories of HCPs. Gaps in the knowledge in following guidelines of NLS were noted in the majority. Newborn resuscitation has to be included in nursing and midwifery curricula, and training on NLS is essential in the orientation programs for newly recruited HCPs in maternity hospitals.

scholarly journals To vaccinate or not to vaccinate? Women’s perception of vaccination in pregnancy: a qualitative study

BJGP Open ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. bjgpopen18X101457 ◽  
Author(s):  
Aisling O'Shea ◽  
Brian Cleary ◽  
Edel McEntee ◽  
Tina Barrett ◽  
Austin O'Carroll ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Post Partum ◽  
Influencing Factor ◽  
Healthcare Providers ◽  
Vaccine Safety ◽  
Structured Interview ◽  
Maternity Hospital ◽  
Health Campaigns ◽  
Vaccination Rates ◽  
In Pregnancy

BackgroundVaccination against influenza and pertussis in pregnancy can reduce the significant morbidity and mortality associated with these infections. Despite this, there is poor uptake of both vaccines in pregnancy.AimTo explore women’s perception of vaccination in pregnancy and thereby determine the reasons behind such low vaccination rates.Design & settingThis is a qualitative study undertaken at a large maternity hospital.MethodSeventeen post-partum women completed a semi-structured interview discussing vaccination. They were recruited from a quantitative study looking at vaccination rates in pregnancy. The interview transcripts were discussed among three researchers and underwent thematic analysis.ResultsThree themes emerged. The first theme explored the influencing factors that shaped the women’s decision to vaccinate in pregnancy. The recommendation of a healthcare provider was the most important influencing factor for this study's cohort of women. The second theme highlighted the deficiency in knowledge women had regarding vaccine safety. The last theme related to the pertussis vaccine, and the reluctance of healthcare providers to discuss and offer this vaccine in pregnancy.ConclusionThe qualitative approach gives voice to the thoughts and concerns of women as they make the complex decision to vaccinate in pregnancy. Clinicians must be cognizant of the important role they play in advising women to vaccinate in pregnancy. They must advise women that the vaccine is safe and address any of their concerns. Lastly, a message on vaccine safety should be included in future public health campaigns to promote vaccination in pregnancy.

scholarly journals Nutrient intake of pregnant Asian women at Sorrento Maternity Hospital, Birmingham

1984 ◽  
Vol 52 (3) ◽  
pp. 457-468 ◽  
Author(s):  
P. M. Eaton ◽  
P. A. Wharton ◽  
B. A. Wharton
Keyword(s):  
Nutrient Intake ◽  
Sodium Intake ◽  
Indian Subcontinent ◽  
Maternity Hospital ◽  
Asian Women ◽  
Vitamin B ◽  
Lower Prevalence ◽  
Low Sodium ◽  
European Women ◽  
In Pregnancy

1. The dietary intake of pregnant Asian women (that is originating from the Indian subcontinent) attending Sorrento Maternity Hospital in Birmingham was determined, using the weighed and recall techniques, at five-weekly intervals from 18 to 38 weeks of pregnancy.2. Mean energy intake of the group was 7.1 MJ (1700 kcal)/d. The intakes of most nutrients were substantially below those consumed by pregnant European women in Britain, a little below those of expectant Pakistani mothers in Islamabad, and about the same as those of expectant East London mothers. Intakes of vitamin D, total folate, vitamin B6, zinc and magnesium were particularly low.3. These observations suggest that a number of Asian women in Birmingham are likely to experience nutritional stress in pregnancy, and there is some anthropometric and biochemical evidence from Sorrento, published elsewhere (Bissenden et al. 1981), to support this.4. A possibly beneficial feature of the diet was a low sodium intake (2 g/d). Previous work at this hospital has noted a lower prevalence of hypertension in pregnant Asian women (Wharton et al. 1980; Bissenden et al. 1981).

scholarly journals Knowledge, Perception and Management of Pre-eclampsia among Health Care Providers in a Maternity Hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 80-88 ◽  
Author(s):  
Titilayo Olaoye ◽  
Oyewole O. Oyerinde ◽  
Oluwatoyin J. Elebuji ◽  
Oluwapelumi Ologun
Keyword(s):  
Health Care ◽  
Global Health ◽  
Health Care Providers ◽  
Management Practices ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Maternity Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Emergency Cesarean

Background: Morbidity and mortality of women and children associated with pre-eclampsia present major global health problems in low and middle income countries. The prevalence of pre-eclampsia in Nigeria ranges from 2% to 16.7%, with approximately 37,000 women dying from preeclampsia annually. This study examines knowledge, perception and management of preeclampsia among healthcare providers in a major maternity hospital in Lagos, southwest Nigeria. Methods: In this descriptive cross-sectional study, 110 health care providers comprising of 75 Nurses, 9 Consultant Physicians, and 26 General Medical Practitioners with varying years of service were selected using purposive sampling technique. Data were collected using a self-administered 36-item semi-structured questionnaire. Data were analysed using the Statistical Package for Social Sciences to generate descriptive and inferential statistics with level of significance set at 0.05. Results: Health care providers in the study had an average knowledge of pre-eclampsia with a mean score of 16.69±3.53. There was generally a good perception of pre-eclampsia with a mean sore of 28.31±3.71. The most-prevalent clinical management practices were emergency cesarean section (16%), magnesium sulphate infusion (29%), and fluid/electrolyte management (9%). Knowledge of pre-eclampsia and years of practice were significantly associated (F=3.31; p= 0.023). Conclusion and Global Health Implications: Gaps in the knowledge of causes, diagnoses, and treatment of pre-eclampsia may be attributable to lack of refresher trainings and absence of written practice guidelines on pre-eclampsia management. Health care providers at this hospital may benefit from training courses that include current nationally and internationally-approved management of preeclampsia. Key words: • Pre-eclampsia • Eclampsia • Knowledge • Perception • Management • Health care providers • Nigeria Copyright © 2019 Olaoye et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Healthcare Providers' Beliefs About Working with Patients with Substance Use Disorders

2014 ◽  
Author(s):  
L. C. van Boekel ◽  
E. P. M. Brouwers ◽  
J. van Weeghel ◽  
H. F. L. Garretsen
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Healthcare Providers
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