Fear of caesarean section, infertility and utilization of traditional birth attendant among ever-pregnant women in Obafemi-Owode, Ogun State, Niger

Abstract

Maternal healthcare and mortality, among other troubling health issues, are on the front burner in developing countries, Nigeria in particular. This study explored the influence of perceived causes of caesarean section, fear of caesarean section and infertility on the continued utilization of traditional birth attendants (TBAs). The study employed the qualitative method, utilizing in-depth interview to collect data from thirty (30) women who have ever been pregnant and ever used TBA. The data were content analysed using themes. It was found that the participants believed that these conditions can be treated using traditional herbs and concoction prepared by TBAs; hence, the preference for TBAs. Placenta size, low blood count, baby in the breech position, high blood pressure and prolonged labour were perceived and identified as factors that warrant caesarean section. Participants said the use of TBAs for child delivery is not only pain free, requiring no caesarean section, but also affordable and accessible; TBAs use incantation whenever ‘delivery is difficult’. Thus, the study recommends that women should be sensitised on the circumstances that warrant caesarean section for child delivery and its probable effects. This will guide them in making informed decision on the place of delivery to avert maternal and neonatal risks.

Key Terms: Infertility, fear, traditional birth attendant, caesarean section, prolonged labour, Nigeria