The Meaning of Efficacy in Relation to Obstetrical Care Preferences

Abstract

In preceding chapters, the argument was set forth that decisions regarding obstetrical assistance are influenced by cultural expectations, including generally shared concepts regarding the reproductive processes. Correspondingly, Bariba expectations regarding appropriate sociological and career attributes of matrones have implications for women’s selection of a birth assistant. A further issue in the consideration of cultural expectation is the cultural meaning of “efficacy.” This chapter will focus on the Bariba definition of birth as an event, on the ideal behavior for pregnant and delivering women, and on the implications of these expectations for the type of intervention which is likely to be considered necessary at birth based on the Bariba definition of effective and appropriate obstetrical therapy.