Socio-Health Context and Practice of Pelvic Muscle Rehabilitation in Morocco

Abstract

The high rate of maternal mortality (112 per 100000 new births)[29], as well as the maternal health problems observed at the level of health facilities, place maternal health at the center of the concerns of ministerial decision-makers in Morocco.. At the same time, the issue of maternal morbidity remains less addressed and documented in comparison to mortality, despite its frequency and its significant consequences of social and family rejection of women. These observations have led us to wonder about the management of morbidity during childbirth and postpartum, in particular the practice of pelvic muscle rehabilitation PMR, which is still absent in public health establishments in Morocco. What are the reasons for this deficit in the prescription of perineal rehabilitation? This question of understanding guided us to study the socio-cultural context, representations around the epistemology of the body within Moroccan Arab-Muslim society, to link them to this re-educational gap. The semi-structured interview tool with diversified populations highlights an organizational and strategic dysfunction despite the efforts made by the Ministry of Health, linked to the lack of awareness and training of health professionals, as well as to the inadequacy of pre, per and especially postnatal care. At the same time, the responses of patients with pelvic floor dysfunction PFD refer to the socio-marital repercussions as well as impairments of the body schema, representations of self and self-esteem, altering their quality of life.

Keywords

• pelvic muscle rehabilitation pmr
• maternal morbidity
• postpartum
• morocco