Between the foreign and the local: French midwifery, traditional practitioners, and vernacular medical knowledge about childbirth in Lima, Peru

Warren, Adam

doi:10.1590/s0104-59702015000100011

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Regarding the implementation of such recommendations, a previous study has shown that, to realistically try to implement foreign knowledge in traditional communities, one needs to understand the existing local knowledge and reference the social, political, and cultural context of these communities [25]. Using traditional practices in Peru from the late 18th to early 19th centuries as examples, Warren [25] pointed out that, although a French midwife already emphasized external "correct" knowledge and practice at that time, local women, even those highly educated, still sought care from and relied on traditional midwives [25]. A literature review on Asian traditional beliefs and practices also described that cultural beliefs can influence women's use of formal maternal healthcare services, and that women's fear of unnecessary medical interventions was a barrier to institutional births [26].…”

Section: Discussionmentioning

confidence: 99%

Perceived differences on the role of traditional birth attendants in rural Tanzania: a qualitative study

Shimpuku

Madeni

Shimoda

et al. 2021

BMC Pregnancy Childbirth

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Background In many low to middle income countries, traditional birth attendants (TBAs) play various roles (e.g., provision of health education, referral to hospitals, and delivery support) that can potentially improve women’s access to healthcare. In Tanzania, however, the formal healthcare systems have not acknowleded the role of the TBAs. TBAs’ contributions are limited and are not well described in policy documents. This study aimed to examine the perspectives of both TBAs and skilled birth attendants (SBAs) to clarify the role of TBAs and issues impacting their inclusion in rural Tanzania. Methods We used a qualitative descriptive design with triangulation of investigators, methods, and data sources. We conducted semi-structured interviews with 15 TBAs and focus group discussions with 21 SBAs in Kiswahili language to ask about TBAs’ activities and needs. The data obtained were recorded, transcribed, and translated into English. Two researchers conducted the content analysis. Results Content analysis of data from both groups revealed TBAs’ three primary roles: emergency delivery assistance, health education for the community, and referrals. Both TBAs and SBAs mentioned that one strength that the TBAs had was that they supported women based on the development of a close relationship with them. TBAs mentioned that, while they do not receive substantial remuneration, they experience joy/happiness in their role. SBAs indicated that TBAs sometimes did not refer women to the hospital for their own benefit. TBAs explained that the work issues they faced were mainly due to insufficient resources and unfavorable relationships with hospitals. SBAs were concerned that TBAs’ lacked formal medical training and their actions could interfere with SBAs’ professional work. Although there were no between-group interactions at the time of this study, both groups expressed willingness to collaborate/communicate to ensure the health and lives of mothers and babies. Conclusions TBAs and SBAs have different perceptions of TBAs’ knowledge and skills, but agreed that TBAs need further training/inclusion. Such collaboration could help build trust, improve positive birth experiences of mothers in rural Tanzania, and promote nationwide universal access to maternal healthcare.

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Section: Discussionmentioning

confidence: 99%

Perceived differences on the role of traditional birth attendants in rural Tanzania: a qualitative study

Shimpuku

Madeni

Shimoda

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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Facilitators and Barriers of Wet Nursing from Antiquity to the Present: A Narrative Review with Implications for Emergencies

Abdelrahmman,

Borg,

Mihrshahi

et al. 2024

Breastfeeding Medicine

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Por el bien de la nación: discursos científicos en favor de la medicalización del parto en el Perú, 1900-1940

Lossio

Iguiñiz-Romero

Robledo

2018

Hist. cienc. saude-Manguinhos

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Resumen A lo largo del siglo XX se sucedió una serie de cambios en la forma de concebir el parto que pasó de ser un fenómeno reproductivo natural propio del ámbito doméstico y femenino a un asunto médico y profesional del ámbito institucional. A través de procedimientos como el uso de anestesia, la cesárea, el ultrasonido y otras intervenciones técnico-científicas se han generado rápidas e importantes mejoras y cambios para la salud y vida de la sociedad y las mujeres. La medicalización del parto a comienzos del siglo XX fue parte de un proceso más amplio de construcción del Estado e institucionalización del patriarcado común en la región.

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Between the foreign and the local: French midwifery, traditional practitioners, and vernacular medical knowledge about childbirth in Lima, Peru

Cited by 3 publications

References 3 publications

Perceived differences on the role of traditional birth attendants in rural Tanzania: a qualitative study

Perceived differences on the role of traditional birth attendants in rural Tanzania: a qualitative study

Facilitators and Barriers of Wet Nursing from Antiquity to the Present: A Narrative Review with Implications for Emergencies

Por el bien de la nación: discursos científicos en favor de la medicalización del parto en el Perú, 1900-1940

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