NDLI: Beyond body counts: a qualitative study of lives and loss in Burkina Faso after 'near-miss' obstetric complications.

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Beyond body counts: a qualitative study of lives and loss in Burkina Faso after 'near-miss' obstetric complications.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Storeng, Katerini Tagmatarchi Murray, Susan F. Akoum, Mélanie S. Ouattara, Fatoumata Filippi, Véronique
Spatial Coverage	Burkina Faso
Description	Country affiliation: United kingdom Author Affiliation: Storeng KT ( London School of Hygiene & Tropical Medicine, London, UK. katerini.storeng@sum.uio.no)
Abstract	Averting women's pregnancy-related death is today recognised as an international health and development priority. Maternal survival is, in this sense, a success story. There is, however, little research into what happens to the women who survive the severe obstetric complications that are the main causes of maternal mortality. This paper examines findings from repeated in-depth interviews with 64 women who survived a clinically defined 'near-miss.' These interviews were conducted as part of a prospective longitudinal study of women who 'nearly died' of pregnancy-related complications in Burkina Faso, a poor country in West Africa. Drawing on sociological and anthropological perspectives that consider the defining characteristics of 'loss' to be social as much as biomedical, the paper seeks to understand loss as disruption of familiar forms and patterns of life. Women's accounts of their lives in the year following the near-miss event show that such events are not only about blood loss, seizures or infections, but also about a household crisis for which all available resources were mobilised, with a train of physical, economic and social consequences. The paper argues that near-miss events are characterised by the near-loss of a woman's life, but also frequently by the loss of the baby and by further significant disruptions in three overlapping dimensions of women's lives. These include disruption of bodily integrity through injury, ongoing illness and loss of strength and stamina; disruption of the household economy through high expenditure, debts and loss of productive capacity; and disruption of social identity and social stability. Maternal health policy needs to be concerned not only with averting the loss of life, but also with preventing or ameliorating others losses set in motion by an obstetric crisis.
File Format	HTM / HTML
ISSN	02779536
e-ISSN	18735347
Journal	Social Science & Medicine
Issue Number	10
Volume Number	71
Language	English
Publisher	Elsevier
Publisher Date	2010-11-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Medicine Life Change Events Obstetric Labor Complications Survivors Psychology Activities Of Daily Living Burkina Faso Infant Mortality Infant, Newborn Maternal Mortality Mortality Pregnancy Prospective Studies Qualitative Research Social Identification Socioeconomic Factors Research Support, Non-u.s. Gov't Research Support, U.s. Gov't, Non-p.h.s.
Content Type	Text
Resource Type	Article
Subject	Medicine Health (social science) History and Philosophy of Science

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