{"title":"Exploring women's experiences with cultural practices during pregnancy and birth in Keiyo, Kenya: A phenomenological study","authors":"Teckla Kemboi Ngotie, Doreen K.M. Kaura, Bob Mash","doi":"10.1016/j.ijans.2024.100701","DOIUrl":null,"url":null,"abstract":"<div><p>Childbearing is associated with memories from experiences encountered during the childbearing journey. Besides the physiological and biological nature of pregnancy and birth, culture influences experiences and the meanings of surroundings. Care providers should be prepared to provide culturally safe care for a positive childbearing experience. Therefore, this study aimed to explore women's experiences with cultural practices during pregnancy and birth for insights to advise responsive healthcare to optimise positive childbearing outcomes.</p></div><div><h3>Methods</h3><p>A qualitative phenomenological study was conducted between October 2020 and January 2021. A semi-structured interview guide was piloted with two women (one during pregnancy and the other postpartum). Individual interviews and data analysis were conducted inductively and iteratively. Saturation of themes was achieved after interviewing sixteen participants. Two additional interviews did not elicit any new information. Audio-recorded interviews were transcribed and analysed using ATLAS. ti Software version 8.4.4 (1135), following Van Manen's five steps of thematic analysis.</p></div><div><h3>Findings</h3><p>Three themes emerged: Sexual and Reproductive Health (SRH) encounters, exposure to Cultural Practice during birth, and what women want during pregnancy and childbirth.</p></div><div><h3>Conclusion</h3><p>Women's voices echoed diverse cultural encounters and exposures that modified their experiences during pregnancy and birth. The study offered a safe platform for the women to provide their narratives while expressing their cultural needs and the care providers' expectations. There is a need to design or reinforce strategies that foster collaborative care and synergy between the triad stakeholders' (skilled birth attendant-woman-traditional birth attendant) care partnership.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000465/pdfft?md5=4240fcd190580a728b7027e391601696&pid=1-s2.0-S2214139124000465-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Africa Nursing Sciences","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214139124000465","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
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Abstract
Childbearing is associated with memories from experiences encountered during the childbearing journey. Besides the physiological and biological nature of pregnancy and birth, culture influences experiences and the meanings of surroundings. Care providers should be prepared to provide culturally safe care for a positive childbearing experience. Therefore, this study aimed to explore women's experiences with cultural practices during pregnancy and birth for insights to advise responsive healthcare to optimise positive childbearing outcomes.
Methods
A qualitative phenomenological study was conducted between October 2020 and January 2021. A semi-structured interview guide was piloted with two women (one during pregnancy and the other postpartum). Individual interviews and data analysis were conducted inductively and iteratively. Saturation of themes was achieved after interviewing sixteen participants. Two additional interviews did not elicit any new information. Audio-recorded interviews were transcribed and analysed using ATLAS. ti Software version 8.4.4 (1135), following Van Manen's five steps of thematic analysis.
Findings
Three themes emerged: Sexual and Reproductive Health (SRH) encounters, exposure to Cultural Practice during birth, and what women want during pregnancy and childbirth.
Conclusion
Women's voices echoed diverse cultural encounters and exposures that modified their experiences during pregnancy and birth. The study offered a safe platform for the women to provide their narratives while expressing their cultural needs and the care providers' expectations. There is a need to design or reinforce strategies that foster collaborative care and synergy between the triad stakeholders' (skilled birth attendant-woman-traditional birth attendant) care partnership.
期刊介绍：
International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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