Download The Cultural Context of Therapeutic Choice: Obstetrical Care by Carolyn Fishel Sargent (auth.) PDF

By Carolyn Fishel Sargent (auth.)

This e-book examines the criteria influencing women's offerings of obstetrical care in a Bariba group within the People's Republic of Benin, West Africa. while making a choice on a learn subject, i made a decision to enquire overall healthiness care one of the Bariba for numerous purposes. First, I had served as a Peace Corps Volunteer in northern Benin (then Dahomey) and had validated a community of contacts within the zone. moreover, I had labored for a yr as assistant supervisor of a pharmacy in a northern city and had turn into drawn to the development of usage of overall healthiness care companies by way of city citizens. This three-year place of abode proved a useful asset in getting ready and carrying out examine within the northern area. specifically, i used to be capable of determine relationships with a number of indigenous midwives whose households I already knew either from earlier examine adventure and mutual pal­ ships. those relationships enabled me to procure specified information about obstetrical perform and hence shape the basis of this e-book. The fieldwork upon which the booklet is without delay established was once carried out among June 1976 and December 1977 and subsidized through the F ord-Rockefeller Popula­ tion coverage software, the Social technological know-how learn Council, the nationwide technological know-how beginning, and the FUlbright-Hays Doctoral Dissertation learn software. The Ford-Rockefeller inhabitants coverage application funded the undertaking as a collab­ oration among myself and Professor Eusebe Alihonou, Professor Agrege (Gynecologie-Obstetrique) on the nationwide college of Benin.

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Extra info for The Cultural Context of Therapeutic Choice: Obstetrical Care Decisions Among the Bariba of Benin

Sample text

Obstetrical complications fit generally into the pattern of beliefs and practices regarding sickness with the exception that intrinsically, pregnancy and delivery are not considered pathological processes. Pregnancy is considered a perilous state, requiring attention to certain taboos and recommended behaviors; however, until an abnormality or complication presents itself, pregnancy and delivery are not categorized as afflictions parallel to such disorders as "ampoule," hernia, measles, syphilis, and so forth.

NonMuslim diviners employ a number of techniques of divination. Primary among these are throwing and reading cowry shells; reading dregs of millet beer left in a gourd; and reading sand thrown on the ground. The most powerful diviners are members of spirit cults, particularly the sam bani cult (see Chapter 5) who are alleged to be clairvoyant, whether in or out of a trance state. Members of another cult, bukakaaru, on the other hand, can sometimes read the future or determine causation of misfortunes while in a trance, which only occurs during cult dances, while the musicians are playing.

There are several sets of circumstances in which abortion might be deemed necessary, or at least, the lesser of two evils. One is that mentioned above - when a woman becomes pregnant before her child is old enought to be weaned (20 months approximately). Should she not have an abortion, others will know that her husband came to her room and she will be ashamed. A Pehunko woman who became pregnant when her previous child was 16 or 17 months old was much discussed, if not mocked. Another situation where abortion might be attempted is that where a woman becomes pregnant while her husband is away from home, or when a woman becomes pregnant and cannot name the father.

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