Theeffectsofobstetriccomplicationsonthehealthandsocio-.pptVIP

The effects of obstetric complications on the health and socio-economic wellbeing of women and their families in Burkina Faso(V Filippi, N Meda, R Ganaba, S Murray, T Marshall, S Russell, K Storeng, P Iboulo, M Akoum)Hewlett Foundation / ESRC funded  Well-being following a pregnancy, childbirth or complications [The delivery] is a little bit dangerous. But there is also happiness. After the delivery, if everything went well, and you see the child, you are happy (Burkinabè mother) Because I was losing urine, I did not want to get pregnant before my fistula was repaired. [My husband] used to threaten me with a knife, accusing me of having sexual relationships with other men (18-year old Burkinabè woman with vesico-vaginal fistula) Well-being following a pregnancy, childbirth or complications “Even yesterday they were speaking about it. They were saying that if it hadn’t been for the cost of my operation, the problem of buying [food] wouldn’t have been as bad, because we could have spent the money that we spent on the operation to buy millet. When they say things like this, I just get up and leave the room and wait until they have finished before I go back in and join them”. Rationale Burden of disease from maternal causes underestimated due to lack of attention to outcomes after pregnancy Emergency medical care saves lives, but those surviving near miss may face potentially disabling consequences. But inadequate support for those women who survive such experiences The research also relevant to wider social protection debates. Ill-health is a shock to household resources and livelihood activities ? impoverishment Identify factors influencing vulnerability and resilience to such shocks Inform social protection policy, including health policy, to enhance resilience. Growing research in this policy area but not for maternal health. A “near-miss” eventoperational definitions Dystocia: uterine rupture, bandl ring Haemorrhage: blood loss with shock, b