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[Introduction].

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    |August 2, 2018
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    Summary
    This summary is machine-generated.

    Midwives in Africa face challenges impacting obstetric care quality. Understanding their social, emotional, and economic roles is crucial for improving maternal health programs and addressing mistreatment during childbirth.

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    Area of Science:

    • Public Health
    • Sociology of Health
    • Medical Anthropology

    Background:

    • Obstetric care quality and access remain insufficient in many African regions.
    • Previous studies identified poor facilities and mistreatment of women but lacked in-depth analysis of underlying reasons.
    • Midwives' professional experiences, practices, and personal lives are central to understanding care provision.

    Purpose of the Study:

    • To investigate the factors influencing midwives' job experiences and obstetric practices in Benin and Burkina Faso.
    • To elucidate the social, emotional, and economic factors affecting the quality of obstetric care.
    • To bridge the gap between health program proposals and the realities of midwives' work.

    Main Methods:

    • Qualitative survey examining midwives' experiences, obstetric practices, and personal lives.
    • Analysis incorporating emotional, sensorial, linguistic, and social dimensions of their work.
    • Exploration of gender relations and their impact on professional careers.

    Main Results:

    • Significant discordances exist between health program objectives and midwives' social, emotional, and economic roles.
    • Gender dynamics play a crucial role in midwives' career trajectories.
    • Midwives' attitudes and mistreatment behaviors are linked to childbirth being viewed as a moral act, juxtaposing technical skills with value judgments on pain, sexuality, and desire.
    • Justification for certain practices, including violence, is often attributed to the urgency of childbirth situations.

    Conclusions:

    • Improving obstetric care requires acknowledging midwives' justifications and engaging in dialogue about their constraints.
    • Addressing social and emotional factors, sexuality, and the reasons behind midwives' actions is essential for effective program implementation.
    • Understanding the complex interplay of social, emotional, and professional factors is key to enhancing maternal healthcare in Africa.