5 Case Reports of Maternal Experiences during Pregnancy, Peripartum and Infancy Periods of their Profoundly Deaf Children under the Socioeconomic Situation in Nigeria

R. Kalu, J. Fulton, K. Etim
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Abstract

The incidence of profound hearing loss is global, but the challenges and perception of mothers during pregnancy, peripartum and infancy of their children with profound hearing loss appear to differ from country to country and between developed and developing countries. The aim of this study was to investigate the experiences of five mothers of profoundly deaf children in Calabar, Southeastern Nigeria, during pregnancy, peripartum and infancy of such children, including how Case Report Kalu et al.; BJMMR, 20(5): 1-11, 2017; Article no.BJMMR.30785 2 these 5 mothers interpreted their children’s disability, relative to the socioeconomic situations in Nigeria. A qualitative methodology aimed at having a holistic and indepth understanding of the experiences of these 5 mothers, was employed. The results revealed that these 5 mothers were initially suspicious of their children’s disability when they noticed the children’s developmental delay, resulting in frustration and worry. There was no newborn screening test for the disability as done in developed countries, thus denying parents expeditious preventive measures. Mothers’ ignorance of the aetiological factors of the abnormality, wrong diagnosis by unskilled health workers in available hospitals and spiritual belief, coupled with socioeconomic factors such as poverty and very strange healthcare system, all were the experiences of mothers which of course, obstructed choices of solution to the abnormality. The information collected from these 5 mothers indicates socioeconomic impediments, ignorance and spiritual belief system will continue to negatively affect the management of profound deafness in Nigeria.
5例尼日利亚社会经济条件下重度聋儿妊娠、围生期和婴儿期母亲经历报告
深度听力损失的发病率是全球性的,但在不同国家以及发达国家和发展中国家之间,母亲在患有深度听力损失的孩子的怀孕、围产期和婴儿期所面临的挑战和看法似乎有所不同。本研究的目的是调查尼日利亚东南部卡拉巴尔市5名重度失聪儿童的母亲在这些儿童怀孕、围产期和婴儿期的经历,包括病例报告Kalu等人;生物医学工程学报,20(5):1-11,2017;文章no.BJMMR。30785 .这5位母亲根据尼日利亚的社会经济状况来解释她们孩子的残疾。采用了一种定性方法,目的是全面和深入地了解这5位母亲的经历。结果显示,这5位母亲在注意到孩子的发育迟缓时,最初对孩子的残疾持怀疑态度,从而产生沮丧和担忧。没有像发达国家那样对新生儿进行残疾筛查,因此剥夺了父母迅速采取预防措施的权利。母亲对异常病因的不了解、现有医院医护人员的错误诊断、精神信仰,再加上贫困、医疗体系非常陌生等社会经济因素,这些都是母亲的经历,当然阻碍了异常治疗的选择。从这5位母亲那里收集到的信息表明,社会经济障碍、无知和精神信仰体系将继续对尼日利亚的深度耳聋管理产生负面影响。
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