المحددات الاجتماعية للوفاة النفاسية في ضوء نموذج الانتقال الولادي: دراسة ميدانية ببعض قرى محافظة المنيا

الملخص EN

The study aims to describe the effectiveness of the social determinants of obstetric transition model in the occurrence of maternal death, the study was based on several hypotheses such as, the inequity of the social environment in which the mother resides leads to maternal mortality, the quality of care provided in health systems for women's health affects the avoidance of maternal mortality, and depriving mother of education results in submission to social values and customs that are harmful to the health of pregnancy and childbirth and health practices that lead to maternal mortality.

the study took the obstetric transition model for “Souza JP” as a theoretical guide.

methodologically, case study, ecological methods were used, and the researcher prepared an in-depth interview guide based on the sisterhood procedure, a scientific observation card and informative as tools for data collection.

the study was conducted on a purposed sample of five sisters who replaced their deceased sisters.

general results have shown that, the deterioration of infrastructure and housing services for the social environment affects the health and has negative effects that lead to maternal death.

it was also found that the deceased were unable to receive regular preventive health care about pregnancy and childbearing, and follow-up throughout the pregnancy, where it is financially costly with their lack of financial resources, the study revealed many obstacles that faced the deceased in pregnancy and childbirth in a healthy and social environment, whether in the village health units, or the public health hospital.

finally, results showed the effect of illiteracy of the deceased in absence of their cognitive ability to do self-care, as well as developing their skills for preventive health care to ward off risks and harmful practices to which they were previously exposed, in addition to the lack of empowerment and autonomy, and submissiveness to decisions of husbands, even with regard to their own health care.