Rites et cultures des femmes d'origine chinoise en périnatalité. Les difficultés rencontrées
Résumé
Rites and cultures of Chinese women in perinatal field: difficulties encountered
The motherhood of Chinese immigrants is characterized by several rites and traditional beliefs, which can generate misunderstandings or prejudices within the medical staff. Because of these observations, the following issue can be raised: do the midwives meet difficulties when taking care of these expected mothers from a medical, social and cultural point of view? We have carried out a qualitative study, by conducting a survey in three different maternities in Paris. In total, 52 midwives have answered our questionnaire. This study has highlighted two prevailing periods during which the medical care revealed to be the most difficult : the pregnancy and the postpartum. Even though the hospitals implemented various measures to overcome the language barrier as well as the cultural and social gap, these efforts are still being perceived as insufficient by the midwives. For a medical care that suits more specifically the needs of these women, other means should be more developed such as talk groups or the "femmes relais" concept should be more developed.
The motherhood of Chinese immigrants is characterized by several rites and traditional beliefs, which can generate misunderstandings or prejudices within the medical staff. Because of these observations, the following issue can be raised: do the midwives meet difficulties when taking care of these expected mothers from a medical, social and cultural point of view? We have carried out a qualitative study, by conducting a survey in three different maternities in Paris. In total, 52 midwives have answered our questionnaire. This study has highlighted two prevailing periods during which the medical care revealed to be the most difficult : the pregnancy and the postpartum. Even though the hospitals implemented various measures to overcome the language barrier as well as the cultural and social gap, these efforts are still being perceived as insufficient by the midwives. For a medical care that suits more specifically the needs of these women, other means should be more developed such as talk groups or the "femmes relais" concept should be more developed.
La maternité des femmes d'origine chinoise est marquée par divers rites et croyances traditionnels. Une incompréhension des professionnels médicaux ou des préjugés peuvent émaner de leurs comportements singuliers. C'est à partir de ces observations qu'est née la problématique de ce mémoire : les sages-femmes rencontrent-elles des difficultés dans la prise en charge médicale et socioculturelle de ces femmes enceintes ? Nous avons réalisé une enquête qualitative, à l'aide de questionnaire, auprès de 52 sages-femmes exerçant dans trois maternités parisiennes. Cette étude a mis en évidence que la prise en charge s'avérait difficile à deux moments : la grossesse et le post-partum. Des dispositifs ont été mis en place en vue de pallier les obstacles linguistiques, culturels et sociaux. Toutefois, ceux-ci sont estimés insuffisants par les sages-femmes du panel. Pour une prise en charge plus adaptée de ces femmes, d'autres moyens tels que des groupes de paroles ou des femmes relais, devraient être plus nombreux.
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