{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T19:58:26Z","timestamp":1765742306966},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":2360,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2004,7,8]]},"abstract":"<jats:p>Postpartum hemorrhage is the leading cause of maternal deaths in developing countries. This report highlights the social and cultural factors that influence the decision to seek care in cases of postpartum bleeding. Survey data on awareness of danger signs in the postpartum period and findings from the anthropologic literature describing beliefs about bleeding in childbirth and the postpartum period are presented. Findings point to a mismatch between actual and perceived risks of danger in the postpartum period. This may reflect a viewpoint that there are few risks remaining after the baby is born. This may, in turn, shape the perception that the postpartum period is one in which less vigilance is required compared with labor and birth. Such beliefs are important to consider, as they may influence timely seeking of emergency obstetric care. Efforts to reduce the incidence of postpartum hemorrhage as a major cause of maternal death must progress on two fronts: on the supply side to ensure the provision of skilled care and on the demand side to ensure that women and their families accept the view that bleeding after birth is dangerous and that skilled care is preferable to traditional care.<\/jats:p>","DOI":"10.1016\/j.jmwh.2004.04.010","type":"journal-article","created":{"date-parts":[[2004,8,25]],"date-time":"2004-08-25T15:32:18Z","timestamp":1093447938000},"page":"293-297","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Perceptions Matter: Barriers to Treatment of Postpartum Hemorrhage"],"prefix":"10.1111","volume":"49","author":[{"given":"Sereen","family":"Thaddeus","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachna","family":"Nangalia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna","family":"Vivio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"183","volume-title":"Safe motherhood initiatives: Critical issues","author":"AbouZahr C","year":"1999"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(02)00020-6"},{"key":"e_1_2_6_4_2","volume-title":"Too far to walk: Maternal mortality in context: Findings from a multidisciplinary literature review","author":"Thaddeus S","year":"1990"},{"key":"e_1_2_6_5_2","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1525\/9780520918733-020","volume-title":"Childbirth and authoritative knowledge: Cross\u2010cultural perspectives","author":"Biesele M","year":"1997"},{"key":"e_1_2_6_6_2","first-page":"193","volume-title":"Anthropology of human birth","author":"Sargent C","year":"1982"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-6138(05)80229-3"},{"key":"e_1_2_6_8_2","volume-title":"MotherCare Matters","author":"MotherCare's community assessments","year":"2000"},{"key":"e_1_2_6_9_2","volume-title":"Bangladesh maternal health services and maternal mortality survey 2001, Preliminary report","author":"National Institute of Population Research and Training","year":"2002"},{"key":"e_1_2_6_10_2","volume-title":"MotherCare's initiatives: Actions and results of 31 projects, 1993\u20102000","author":"Jessop S","year":"2000"},{"key":"e_1_2_6_11_2","volume-title":"Traditional birth practices: An annotated bibliography","author":"Edouard L","year":"1985"},{"key":"e_1_2_6_12_2","first-page":"221","volume-title":"Anthropology of human birth","author":"Moser MB","year":"1982"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1525\/maq.2000.14.2.180"},{"key":"e_1_2_6_14_2","volume-title":"Unraveling the mysteries of maternal death in West Java: Reexamining the witnesses","author":"Iskandar MB","year":"1996"},{"key":"e_1_2_6_15_2","volume-title":"MNH qualitative formative research, postpartum hemorrhage study in Bandung and Subang","author":"WHOCC\u2010PMC Team","year":"2002"},{"key":"e_1_2_6_16_2","volume-title":"Regional Office for South Asia","author":"UNICEF","year":"2000"},{"key":"e_1_2_6_17_2","first-page":"89","volume-title":"Conceiving persons: Ethnographies of procreation, fertility and growth","author":"Cedercreutz S","year":"1999"},{"key":"e_1_2_6_18_2","volume-title":"Labour pains and labour power: Women and childbearing in India","author":"Jeffery P","year":"1989"},{"key":"e_1_2_6_19_2","volume-title":"Review of select family and community practices for maternal and newborn health","author":"Kureshy N","year":"2002"},{"key":"e_1_2_6_20_2","volume-title":"Working with \u201cindividuals, families and communities\u201d to improve maternal and newborn health. 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