Pathways of decision making among Yucatan Mayan traditional birth attendants

Journal of Midwifery & Women's Health
Barbara A AndersonAurora Dzib-Xihum de Cen

Abstract

In rural, developing world communities, women are often isolated from biomedical services. Frequently, traditional birth attendants (TBAs) are the only caregivers during childbirth, both normal and complicated. Women trust their TBAs to manage their births. Globally, government and non-governmental organizations (NGOs) have sought to upgrade TBAs' skills and to encourage them to refer complications. However, most training programs have failed to change TBAs' practice substantially. Logistical barriers in reaching biomedical services in a timely manner are a key issue. Another is the difference between biomedical and traditional practitioners in the cognitive frameworks that shape decision making and management behaviors. The purpose of this study, conducted in Quintana Roo State, Mexico, was to listen to the voices of practicing Yucatec Maya TBAs (parteras) as they described decision making and management of complicated births. In-depth interviews with six practicing parteras in rural, isolated communities revealed that the parteras used traditional Maya ethnomedicine while valuing biomedical approaches. We isolated themes in decision making and mapped management of birth complications. Integrating TBAs' traditional knowledge i...Continue Reading

References

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Citations

Feb 1, 2011·Health Policy and Planning·Sandra G Sosa-RubíSergio Bautista-Arredondo
Dec 15, 2012·Studies in Family Planning·L Lewis Wall
Mar 5, 2021·Global Bioethics = Problemi Di Bioetica·Nico NortjéClaudia R Sotomayor
Oct 9, 2021·International nursing review·Daniel F M Suárez-Baquero, Jane Dimmitt Champion

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