Representation and Experience of Cesarean Section in Women Who Have Had a Cesarean at the Isiro General Referral Hospital, Democratic Republic of the Congo

Abstract

At the General Referral Hospital of Isiro (HGR-I), under the Provincial Health Division of Haut-Uélé in the Democratic Republic of the Congo, cesarean section often results either in maternal death during or after the operation or in a severe infection requiring prolonged hospitalization postoperatively. Women in the city of Isiro and its surroundings perceive cesarean section as an unnecessary procedure and a gateway to death. This study aims to understand women's experiences and perceptions of cesarean section, an often unexpected event, to reduce negative experiences through appropriate strategies. A qualitative study inspired by phenomenology was chosen for this research. The study population consists of women who have undergone a cesarean section in the gynaecology-obstetrics department of HGR-I. The majority of women perceive cesarean section as a misfortune, a gateway to death, and sometimes as an unnecessary intervention. Only a minority view this procedure as life-saving. Indeed, not giving birth naturally can be profoundly destabilising, affecting the integration of the maternal role and even the recognition of femininity.