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Reconquista: Obstetric Violence and Underreporting of Obstetric Complications in Yucatán and Quintana Roo

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Maternal Death and Pregnancy-Related Morbidity Among Indigenous Women of Mexico and Central America

Part of the book series: Global Maternal and Child Health ((GMCH))

Abstract

By providing ethnographic examples of some of the ways that obstetric violence is manifested during labor, birth, and the postpartum period, this chapter explores the context and practice of obstetric violence in Quintana Roo and Yucatán and its relationship to racism and broader patterns of violence and marginalization of women. It investigates the effect of medical interventions during birth and postpartum within the context of rural and urban Maya life and highlights the ways in which routinized high-intervention births may lead to increased complications and postpartum infections, given the realities of life for many in Quintana Roo and Yucatán. This chapter also examines the role of documentation and record-keeping as a means of obscuring the practice of obstetric violence and how this may contribute to skewed and inaccurate maternal and infant mortality rates.

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Notes

  1. 1.

    Such as Progresa, Oportunidades, and Prospera.

  2. 2.

    A public health clinic. While in cities they may be capable of hosting surgeries, in rural areas, they are usually quite small, underfunded, and understaffed.

References

  • Althabe, F., & Belizán, J. M. (2006). Caesarean section: The paradox. Lancet, 368(9546), 1472–1473.

    Article  PubMed  Google Scholar 

  • Barber, S. L. (2009). Mexico’s conditional cash transfer programme increases cesarean section rates among the rural poor. European Journal of Public Health, 20(4), 383–388. https://doi.org/10.1093/eurpub/ckp184

    Article  PubMed  PubMed Central  Google Scholar 

  • Berry, N. S. (2006). Kaqchikel midwives, home births, and emergency obstetric referrals in Guatemala: Contextualizing the choice to stay at home. Social Science & Medicine, 62(8), 1958–1969. https://doi.org/10.1016/j.socscimed.2005.09.005

    Article  Google Scholar 

  • Berry, N. S. (2008). Who’s judging the quality of care? Indigenous Maya and the problem of “not being attended”. Medical Anthropology, 27(2), 164–189. https://doi.org/10.1080/01459740802017413

    Article  PubMed  Google Scholar 

  • Berry, N. S. (2010). Unsafe motherhood: Mayan maternal mortality and subjectivity in post-war Guatemala. New York, NY: Berghahn Books.

    Google Scholar 

  • Betrán, A. P., Merialdi, M., Lauer, J. A., Bing-Shun, W., Thomas, J., Van Look, P., et al. (2007). Rates of caesarean section: Analysis of global, regional and national estimates. Paediatric and Perinatal Epidemiology, 21(2), 98–113. https://doi.org/10.1111/j.1365-3016.2007.00786.x

    Article  PubMed  Google Scholar 

  • Birn, A.-E. (1999). Federalist flirtations: The politics and execution of health services decentralization for the uninsured population in Mexico, 1985-1995. Journal of Public Health Policy, 20(1), 81–108. https://doi.org/10.2307/3343260

    Article  PubMed  CAS  Google Scholar 

  • Bohren, M. A., Vogel, J. P., Hunter, E. C., Lutsiv, O., Makh, S. K., Souza, J. P., et al. (2015). The mistreatment of women during childbirth in health facilities globally: A mixed-methods systematic review. PLoS Medicine, 12(6). https://doi.org/10.1371/journal.pmed.1001847

    Article  PubMed  PubMed Central  Google Scholar 

  • Braine, T. (2008). Mexico’s midwives enter the mainstream. Bulletin of the World Health Organization, 86(4), 244–245. https://doi.org/10.2471/blt.08.010408

    Article  PubMed  Google Scholar 

  • Carroli, G., & Mignini, L. (2009). Episiotomy for vaginal birth. Cochrane Database of Systematic Reviews, 1(1), CD000081. https://doi.org/10.1002/14651858.CD000081.pub2

    Article  Google Scholar 

  • Coneval. (2012). Evaluacion estrategica sobre mortalidad materna en Mexico 2010: Caracterısticas sociodemograficas que obstaculizan a las mujeres embarazadas su acceso efectivo a instituciones de salud. Mexico, DF: Consejo Nacional de Evaluacion de la Polıtica de Desarrollo Social.

    Google Scholar 

  • Davis-Floyd, R. E. (2001). La partera profesional: Articulating identity and cultural space for a new kind of midwife in Mexico. Medical Anthropology, 20(2-3), 185–243. https://doi.org/10.1080/01459740.2001.9966194

    Article  PubMed  CAS  Google Scholar 

  • Davis-Floyd, R. E. (2004). Birth as an American rite of passage: With a new preface. Oakland, California: University of California Press.

    Book  Google Scholar 

  • D’Gregorio, R. P. (2010). Obstetric violence: A new legal term introduced in Venezuela. International Journal of Gynecology & Obstetrics, 111(3), 201–202.

    Article  Google Scholar 

  • de López, J.M. (2011). Rural-urban migration in Chiapas, Mexico: Antenatal violence and the disappearing of the midwife. Paper presented at The International Conference on Gendered Violence, University of Bristol, UK. 23-25 November 2011.

    Google Scholar 

  • Dixon, L. Z. (2015). Obstetrics in a time of violence: Mexican midwives critique routine hospital practices. Medical Anthropology Quarterly, 29(4), 437–454. https://doi.org/10.1111/maq.12174

    Article  Google Scholar 

  • Fregoso, R. L., & Bejarano, C. L. (2010). Terrorizing women: Feminicide in the Americas. Durham, North Carolina: Duke University Press.

    Google Scholar 

  • Frenk, J., Sepúlveda, J., Gómez-Dantés, O., & Knaul, F. (2003). Evidence-based health policy: Three generations of reform in Mexico. Lancet, 362(9396), 1667–1671. https://doi.org/10.1016/s0140-6736(03)14803-9

    Article  PubMed  Google Scholar 

  • Gibbons, L., Belizán, J. M., Lauer, J. A., Betrán, A. P., Merialdi, M., & Althabe, F. (2010). The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: Overuse as a barrier to universal coverage. World Health Report Background Paper, 30, 1–31.

    Google Scholar 

  • Gurol-Urganci, I., Cromwell, D. A., Edozien, L. C., Mahmood, T. A., Adams, E. J., Richmond, D. H., et al. (2013). Third- and fourth-degree perineal tears among primiparous women in England between 2000 and 2012: Time trends and risk factors. British Journal of Obstetrics and Gynaecology, 120(12), 1516–1525.

    Article  CAS  PubMed  Google Scholar 

  • Homedes, N., & Ugalde, A. (2009). Twenty-five years of convoluted health reforms in Mexico. PLoS Medicine, 6(8), e1000124. https://doi.org/10.1371/journal.pmed.1000124

    Article  PubMed  PubMed Central  Google Scholar 

  • Hornemann, A., Kamischke, A., Luedders, D. W., Beyer, D. A., Diedrich, K., & Bohlmann, M. K. (2010). Advanced age is a risk factor for higher grade perineal lacerations during delivery in nulliparous women. Archives of Gynecology and Obstetrics, 281(1), 59–64.

    Article  PubMed  Google Scholar 

  • McCrea, H. (2011). Diseased relations: Epidemics, public health, and state-building in Yucatán, Mexico, 1847-1924. Albuquerque: University of New Mexico Press.

    Google Scholar 

  • Mills, L. (2015). Accounting for blame: The paradoxical consequences of measuring maternal death in Mexico. Social Politics: International Studies in Gender, State & Society, 22(3), 411–431.

    Article  Google Scholar 

  • Napolitano, V., & Flores, G. M. (2003). Complementary medicine: Cosmopolitan and popular knowledge, and transcultural translations-cases from urban Mexico. Theory, Culture & Society, 20(4), 79–95.

    Article  Google Scholar 

  • Niino, Y. (2011). The increasing caesarean rate globally and what we can do about it. Bioscience Trends, 5(4), 139–150. https://doi.org/10.5582/bst.2011.v5.4.139

    Article  PubMed  CAS  Google Scholar 

  • OECD. (2005). OECD reviews of health systems: Mexico 2005. Paris: OECD Publishing. https://doi.org/10.1787/9789264008939-en

    Book  Google Scholar 

  • Pan American Health Organization. (2012). Health in the Americas: Regional outlook and country profiles. Washington, DC: PAHO.

    Google Scholar 

  • Pintado, A., Sachse, M., & Lastra, Z. (2015). Maternal care during pregnancy, childbirth, and the postpartum period in primary care units, Oaxaca, Mexico. Social Medicine, 9(1), 29–35.

    Google Scholar 

  • Roberts, T., Emily Carnahan, E., & Gakidou, E. (2013). Burden attributable to suboptimal breastfeeding: A cross-country analysis of country-specific trends and their relation to child health inequalities. Lancet, 381, S126. https://doi.org/10.1016/S0140-6736(13)61380-X

    Article  Google Scholar 

  • Rodríguez, E., Andueza, G., Montero, L., & Hoil, J. (2005). Subregistro de muertes maternas en Mérida, Yucatán (1997-2001). Ginecologia y Obstetricia de México, 73(7), 347–354.

    Google Scholar 

  • Schiavon, R., Troncoso, E., & Polo, G. (2012). Analysis of maternal and abortion-related mortality in Mexico over the last two decades, 1990–2008. International Journal of Gynecology & Obstetrics, 118(Suppl 2), S78–S86. https://doi.org/10.1016/S0020-7292(12)60004-6

    Article  Google Scholar 

  • Schneider, S. D. (2010). Mexican community health and the politics of health reform. Albuquerque, New Mexico: University of New Mexico Press.

    Google Scholar 

  • Secretaria de Salud. (2007). Programa Nacional de Salud 2007-2012. Mexico City: Secretaria de Salud, Mexico.

    Google Scholar 

  • Secretaría de Salud. (1995). Programa de salud reproductiva y planificación familiar 1995–2000. Mexico City: Secretaría de Salud, Mexico.

    Google Scholar 

  • Sesia, P. M. (1996). “Women come here on their own when they need to”: Prenatal care, authoritative knowledge, and maternal health in Oaxaca. Medical Anthropology Quarterly, 10(2), 121–140.

    Article  CAS  PubMed  Google Scholar 

  • Sesia, P. (2013). Derechos humanos, salud y muerte materna: Características, potencial y retos de un nuevo enfoque para lograr la maternidad seguro en México. Revista Andaluza de Antropología, 5, 66–90.

    Google Scholar 

  • Smith-Oka, V. (2015). Microaggressions and the reproduction of social inequalities in medical encounters in Mexico. Social Science & Medicine, 143, 9–16. https://doi.org/10.1016/j.socscimed.2015.08.039

    Article  Google Scholar 

  • Torres, C., & Mújica, O. J. (2004). Salud, equidad y los objetivos de desarrollo del milenio. Revista Panamericana de Salúd Publica [Pan American Journal of Public Health], 15(6), 430–439.

    Google Scholar 

  • Urquieta, J., Angeles, G., Mroz, T., Lamadrid-Figueroa, H., Hernández, B. (2008). Impact of oportunidades on skilled attendance at delivery in rural areas. Working Paper no. WP-08-105, MEASURE Evaluation, University of North Carolina at Chapel Hill.

    Google Scholar 

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Authors and Affiliations

  1. Department of Anthropology, University of Toronto, Toronto, Canada

    Sarah A. Williams M.A.

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  1. Sarah A. Williams M.A.
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Correspondence to Sarah A. Williams M.A. .

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  1. Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    David A. Schwartz

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Williams, S.A. (2018). Reconquista: Obstetric Violence and Underreporting of Obstetric Complications in Yucatán and Quintana Roo. In: Schwartz, D. (eds) Maternal Death and Pregnancy-Related Morbidity Among Indigenous Women of Mexico and Central America. Global Maternal and Child Health. Springer, Cham. https://doi.org/10.1007/978-3-319-71538-4_10

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  • DOI: https://doi.org/10.1007/978-3-319-71538-4_10

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-71538-4

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