Perceptions and Experiences of Women Undergoing Emergency Caesarean Section in Mbandaka, Democratic Republic of the Congo
DOI:
https://doi.org/10.47941/ijhmnp.3693Keywords:
Women’s Perceptions, Emergency Caesarean Section, Qualitative Study, Phenomenological Approach, Mbandaka, Democratic Republic of the CongoAbstract
Purpose: This study aimed to explore how women in Mbandaka perceive and experience emergency caesarean sections in a context marked by an increasing frequency of such procedures and growing mistrust toward maternity care services.
Methodology: A qualitative phenomenological study was conducted to understand the personal meanings attributed to experiences of emergency caesarean sections. Data were collected through semi-structured interviews with women who had undergone an emergency caesarean section in Mbandaka. The transcripts were analyzed using a thematic approach in order to identify major themes and recurring perceptions.
Findings: The majority of participants expressed negative perceptions of emergency caesarean sections. Several associated the procedure with bad luck and believed it was sometimes performed for financial gain by healthcare providers. These perceptions generated mistrust, fear, emotional distress, and a sense of inadequacy among the women concerned. The findings also highlight a breakdown of trust between patients and healthcare professionals within maternity services.
Unique Contribution to Theory, Policy and Practice: This study highlights the socio-cultural and emotional dimensions associated with emergency caesarean sections in the context of Mbandaka. It contributes to a better understanding of women’s perceptions of emergency obstetric interventions. From a policy and practice perspective, the findings emphasize the need to strengthen communication between healthcare providers and patients, promote transparency in medical decision-making, and develop community-based awareness strategies to improve trust in maternal healthcare services.
Downloads
References
1. Carem, L. N. (2023, February 21). Avantages et inconvénients d’un accouchement par césarienne.
2. Kassem, N. (2022, May 29). Accouchement par césarienne : Des complications que la mère et l'enfant peuvent connaître à vie. BBC News Arabic.
3. Brugeilles, C. (2014). L'accouchement par césarienne, un risque pour les droits reproductifs ? Autre part, 2014(2), 143–164.
4. Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage Publications.
5. Moustakas, C. (1994). Phenomenological research methods. Sage Publications.
6. Patton, M. Q. (2015). Qualitative research & evaluation methods (4th ed.). Sage Publications.
7. Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? Field Methods, 18(1), 59–82. https://doi.org/10.1177/1525822X05279903
8. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
9. Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. Sage Publications.
10. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage Publications.
11. World Health Organization. (2021, June 9). WHO statement on caesarean section rates: Frequently asked questions. https://www.who.int/news-room/questions-and-answers/item/who-statement-on-caesarean-section-rates-frequently-asked-questions
12. Dao, S. Z. (2022). Vécu de la césarienne par les femmes dans un hôpital de district de Bamako, Mali. J Chir Spéc Mali, 1(1), 21–27. https://revues.ml/index.php/jcsm/article/view/2253
13. Dieme, M. E., et al. (2023). Perception et vécu de la césarienne en milieu africain : Enquête auprès de 280 patientes. Correspondances : Philippe Marc Moreira ; phmoreira66@yahoo.fr, Centre Hospitalier National de Pikine.
14. Saizonou, J., Godin, I., Ouendo, E. M., Zerbo, R., & Dujardin, B. (2006, April 25). La qualité de prise en charge des urgences obstétricales dans les maternités de référence au Bénin: Le point de vue des «Echappées Belles» et leurs attentes. Tropical Medicine and International Health 11(5) https://doi.org/10.1111/j.1365-3156.2006.01602.x
15. Merliot, A. (2019). Naissance et accouchement par césarienne. Les enjeux psychiques de la naissance. La spécificité de la césarienne.
16. Joseph, G., et al. (2023). Perception et vécu de la césarienne en urgence par les femmes en Haïti (pp. 101–109).
17. Nancy, V., & Pierre-E. (2013). Le choc de la naissance. Caza Journal L'UQAM, XXXX(12), March 18.
18. Satara-Bartko, C. (2018, April 18). Quand la césarienne fait mal.
19. Moola, S. (2018). Soins durant le travail et l’accouchement. Agence de la santé publique du Canada.
20. MSF, & Lukaszewicz, L. (2024/2025). Le vécu maternel de la césarienne en extrême urgence : Étude qualitative durant le séjour à la maternité. Gynécologie et Obstétrique. HAL Id: dumas-05163627. https://dumas.ccsd.cnrs.fr/dumas-05163627v1
21. Boya, V. B., Bonangaleki, C. B., Motoba, J. N., Musungufu, C. N., Baseane, C. S., Munyerenkane, M. M., … Zonga, E. M. (2023). vécu quotidien des femmes césarisées sur les infections post opératoire. International Journal of Social Sciences and Scientific Studies, 3(4), 2762–2774. Retrieved from https://www.ijssass.com/index.php/ijssass/article/view/189
22. Mundembe, P. B., Mbungu, R. M., Tshimungu, F. K., Kangite, J. M., Efoloko Likulu, J. C., Mawunu, M., & Ngbolua, K.-T. N. (2025). Epidemiological and clinical particularities of recurrent emergency caesarean sections in Mbandaka City, Democratic Republic of the Congo. WYYW (Waiguo Yuyan yu Wenhua) 9(5), 929–942. DOI: 05.2223/Wyyw.30.08.2025.01
23. Baumard, M. (2020, September 22). En Afrique, les accouchements par césarienne progressent… au risque de déraper.
24. Luna Desanglois. (2023, June 8). Accouchement : Comment les mamans des quatre coins du globe vivent-elles la naissance de leur bébé ?
25. UNICEF. (2023). Qu’est-ce que la dépression du post-partum ? Reconnaître les signes et trouver de l’aide.
26. Casey, F. E. (2023). Contraceptifs oraux. Virginia Commonwealth University Medical Center.
27. Ministère de la Santé et l’Hygiène Publique. (2020). Santé maternelle/Consultation prénatale (CPN). Bintou Diakhaby.
28. Deruelle, P. (2015, January 23). Doit-on diminuer le nombre de césariennes ?
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Patrick Bongbanga Mundembe, Roger Mwimba Mbungu, Félicien Kandolo Tshimungu, Pierre Bokoswa Ekala, Gérard Ngilima ea Ngilima, Monizi Mawunu, Colette Ashande Masengo, Robijaona Rahelivololoniaina Baholy, Koto-Te-Nyiwa Ngbolua

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.