| Titre : | Between fear and relief : how rural pregnant women experience foetal ultrasound in a Botswana district hospital. (2000) |
| Auteurs : | S. TAUTZ ; R. GORGEN ; A. JAHN ; I. MOLOKOMME ; University of Heidelberg. Department of Tropical Hygiene and Public Health. Heidelberg. DEU |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 50, n° 5, 2000) |
| Pagination : | 689-701 |
| Langues: | Anglais |
| Mots-clés : | Grossesse ; Foetus ; Qualité ; Soins ; Evaluation ; Homme ; Femme ; Allemagne ; Europe ; Surveillance ; Surveillance prénatale |
| Résumé : | [BDSP. Notice produite par INIST RVF0yR0x. Diffusion soumise à autorisation]. Ultrasound technology has achieved almost universal coverage in industrialised countries with particular importance in antenatal surveillance. Its routine use has, however, been viewed critically from medical as well as from sociological perspectives. Studies on women's perception of ultrasound underline the crucial role of client provider communication supporting the technical procedure. Ultrasound is now increasingly available in developing countries. Little is known about how clients in these settings perceive the technology. This study was concerned with women's experience of ultrasound scanning in an African district hospital setting and how their cxperience concurs with the health professionals'views about the new technology. The study was qualitative and used semi-structured in-depth interviews with 41 clients and structured non-participant observation of the examination process, as well as semistructured interviews with health staff. Most women viewed ultrasound as being beneficial. Some expressed considerable fear. The quality of client provider interaction played a decisive role in how the procedure was perceived. Many statements, however, reflect women's overestimation of the diagnostic power of ultrasound and prenatal therapeutic possibilities. Technology and its often expatriate providers tend to be mystified and at the same time non-technological procedures provided by local staff in the context of normal history taking and antenatal care undervalued. (...) |
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