Vol. 4, Issue 3 (2018)
Cesarienne en milieu rural du Kasai Oriental (RD Congo): perceptions et vécu à Kasansa et à Tshilenge
Author(s): Kabongo MAG, Bukasa TJC, Banza NDB, Kayembe C, Losimba J, Mutombo KA, Ntambue MA, Wembonyama OS
Abstract: Objective: To report social and economic perceptions and implications of cesarean sections for women and their families. Methods: This is a phenomenological qualitative study conducted using interviews involving 22 women with caesarean section and during the period from 1 January 2015 to 31 December 2016 at Kasansa and Tshilenge Maternity (Kasaï). Oriental / DR Congo) and their relatives. Group discussions were held with 14 members of the nursing staff of these two surgical structures and their health areas. Results: Perceptions of Caesarean section by the majority women report several levels of fear. The experience and evocation of Caesarean section arouses fear: fear of dying after Caesarean section, fear of significant side effects affecting health and also the obstacles to access this intervention. The minority described positive reactions to the Caesarean section announcement: feelings of relief and safety after a very long and safe job regarding complications that could have occurred during a natural delivery. It is on such points that have dwindled the exchanges with users on the one hand and caregivers on the other hand. Thus, could we speak of plural vulnerabilities. A cultural dimension associates the experience of cesarean section with an inability to be a mother-woman by giving birth vaginally. The financial costs incurred for cesarean section are feared by both women and husbands who, according to social norms, must bear the cost of health care. Another dimension, no less important, is the perception of the supply of care. Access to this intervention is hampered by distance and its corollaries (average and cost of transportation). Quality of care is undermined by the lack of quality and available staff and some inputs such as blood and essential medicines. Conclusion: Caesarean section is an intervention whose utility is well established in the fight against maternal and perinatal mortality. However, it can have certain physical and psycho-social consequences that deserve to be identified and taken care of.