"You include the very first pregnancy and also you do not know
Walking distance to the nearest overall buy Nutlin (3a) health centre was two hours, and her husband mentioned: "...... but what led her to provide from property is because it was an emergency (meaning rapid progress of labour). We had a program for her to deliver in the well being centre". (Husband, Nkole) Girls ordinarily drank classic herbs so as to keep away from prolonged labour and protect against delivery by caesarian section. Herbal medicines have been believed to widen the pelvis and accelerate labour pains. The generally used medicine called palibe kantu literally indicates `there is nothing' indicating that the obstacle to deliver has been removed. The usage of herbal medicines was not permitted by health care providers because of the likelihood to result in precipitate labour, complications for the unborn infant and rupture of the uterus. TBAs believed that powerful contractions of labour and quick progress stimulated by herbs made it hard for females to walk and reach the overall health facility before delivery.: "You include the initial pregnancy and also you do not know what to complete, they may be just saying open your legs, you don't even understand how to provide birth, that way a child can even die, you simply find that the baby has drowned (aspirated) because you do not know what to perform.... they usually do not even show you what to do".: "You come with the first pregnancy and also you usually do not know what to accomplish, they may be just saying open your legs, you don't even know how to give birth, that way a youngster can even die, you simply discover that the infant has drowned (aspirated) due to the fact you don't know what to do....: "You include the very first pregnancy and you do not know what to do, they're just saying open your legs, you do not even know how to give birth, that way a child can even die, you just discover that the baby has drowned (aspirated) mainly because you usually do not know what to do.... they don't even show you what to do". (FGD, ANC Girls 15-34 yrs)There have been two dimensions to understanding why women delayed informing their husbands when labour pain started. Prolonged labour within this community was perceived as a sign of infidelity by the husband or wife and so the girls seemed reluctant to seek support or inform the husbands early. The connection of prolonged labour and adultery was clearly brought out when a title= jir.2014.0021 husband was asked how maternal deaths could possibly be prevented and he responded that `women should cease sleeping around'. This sentiment may be summed up in the regional concept of inchila, which indicates a prolonged and complex labour that results in delivery by caesarean section or even death resulting from infidelity. A further dimension of delay in reporting labour was to show strength. Bearing the pain with strength and endurance in the course of labour was hugely valued for many females.Ng'anjo Phiri et al. BMC Pregnancy and Childbirth 2014, 14:323 http://www.biomedcentral.com/1471-2393/14/Page 7 ofWhen in labour, the ladies informed their husbands 1st, who in turn made arrangements for transport or known as for the TBA or a female relative to assist.