Abstract
The relationship between the medical caregiver and the patient
usually displays an authoritative knowledge [1,2] of the former
although the latter contributes to making the health care delivery
more efficient [3]. Despite an involvement of the patient, his/her
embodied knowledge [4] most often lacks legitimacy considering
the health service delivery procedures particularly in the presence
of a complication. However, the prominence of the patient’s
subjective interpretation may contribute to challenging the
practice of the biomedicine regarding the accountability in some
context. The following reflection draws on two cases of maternal
death that occur in Ouenkoro’s community health centre, a rural
area in central Mali. The health facility is the first level of health
care delivery in the Malian health systems. The midwife in charge
of providing child birth services has been running the maternity for
about thirty years. In the two cases highlighted the context of care
delivery waschallenged by the parturient subjective interpretations
of their conditions. Those accounts not only gained legitimacy over
the clinical indications but also in reporting the maternal deaths
from the perspective of the midwife.
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