Document Detail

Qualitative study of perinatal care experiences among Somali women and local health care professionals in Norway.
MedLine Citation:
PMID:  14687735     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To explore how perinatal care practice may influence labor outcomes among circumcised women. STUDY DESIGN: In-depth interviews were conducted with 23 Somali immigrants and 36 Norwegian health care professionals about their experiences from antenatal care, delivery and the management of circumcision. RESULTS: Circumcision was not recognized as an important delivery issue among Norwegian health care professionals and generally the topic was not addressed antenatally. The Somalis feared lack of experience and sub-optimal treatment at delivery. All of the women expressed a strong fear of cesarean section. Health care professionals were uncertain about delivery procedures for infibulated women and occasionally cesarean sections were performed in place of defibulation. CONCLUSION: We hypothesize that neglect of circumcision may lead to adverse birth outcomes including unnecessary cesarean sections, prolonged second stage of labor and low Apgar scores. We suggest that infibulated women need a carefully planned delivery, correctly performed defibulation and adequate pain relief.
Siri Vangen; R Elise B Johansen; Johanne Sundby; Bente Traeen; Babill Stray-Pedersen
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  112     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-22     Completed Date:  2004-02-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  29-35     Citation Subset:  IM    
Department of Obstetrics and Gynecology, the National Hospital, and Divison of Epidemiology, Norweigian Institute of Public Health, Oslo, Norway.
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MeSH Terms
Attitude of Health Personnel*
Circumcision, Female / ethnology*,  methods
Cross-Sectional Studies
Cultural Characteristics
Delivery, Obstetric / methods
Emigration and Immigration
Ethnic Groups*
Maternal Health Services
Norway / epidemiology
Perinatal Care / standards*,  trends
Pregnancy Complications / ethnology*
Risk Assessment
Somalia / ethnology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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