Codes | Basic themes identified | Organizing themes | Global themes |
---|---|---|---|
-There is joy in pregnancy & childbirth | 1. Pregnancy & childbirth are fulfilling biological functions women perform | 1. Pregnancy & childbirth is role fulfilment, self actualization and empowerment | Women’s experiences of pregnancy & childbirth |
-Women feel accomplished in giving birth safely. | |||
-A woman can die while pregnant or giving birth | 2. Pregnancy & childbirth is dangerous | 2. Pregnancy & childbirth can be a dangerous event | |
-you either die or live | |||
-Pregnancy & childbirth is an anxious phase of woman’s life | |||
-Pregnancy makes women highly dependent on others | |||
-A Pregnant woman needs care, love and empathy to be able to deliver safety | 3. Care during pregnancy is important for safe delivery | 3. Women want skilled attendance at birth | |
-Women should go to hospital when pregnant | 4. Hospital delivery is good | ||
-It is good to deliver in a hospital | |||
-Midwives can help to deliver women safely | |||
-Some places do not have health facilities | 5. Unequal availability and/or distribution of services gives rise to differential access | ||
-There are no nurses/midwives/doctors at some health facilities | 4. Health system failures | Barriers to access & equitable access | |
-Services are far away | 6. Long distance travel & difficulties with arranging transport to health facilities discourage access | ||
-It is difficult to travel | |||
-Caregivers do not ask how women feel | 7. Poor services quality discourage women from accessing and using services | ||
-There is overcrowding in maternity wards | |||
-Maltreatment and scolding is dehumanizing | |||
-Caregivers want women to obey instructions without question | 8. Lack of choice in health facilities is a disincentive to use of skilled care | ||
-Poor communication between women and caregivers leads to misunderstanding | 9. Women’s distrust in the ability of health care institutions & professionals reduces their willingness and ability to access skilled care | ||
-Women do not believe their problems can be solved by some caregivers/health facilities | |||
-Nurses are disrespectful | 10. Culturally and linguistically inappropriate care and health information does not promote effective communication between caregivers & women | ||
-Caregivers disrespectful and disregard women’s preferences and cultural values relating to pregnancy and childbirth | |||
-TBAs advise women about what to do in an obstetric emergency, but health system does not recognize and rewards TBAs | 11. Lack of recognition of the role of TBAs by the health system breeds mistrust and discourage cooperation even in times of obstetric emergnecies | ||
-There is privacy in homebirth but not in hospitals. |