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

  • Sarah A. Williams
Chapter
Part of the Global Maternal and Child Health book series (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.

Keywords

Indigenous women Maternal health Skilled birth attendants Birth practices Mexico Quintana Roo Yucatan Indigenous pregnancy Maya Pregnancy disorders Maternal death Maternal mortality Reproductive health Obstetric violence Cesarean section Traditional birth attendant Breastfeeding Medical intervention Underreporting Health system Episiotomy Violence 

References

  1. Althabe, F., & Belizán, J. M. (2006). Caesarean section: The paradox. Lancet, 368(9546), 1472–1473.CrossRefPubMedGoogle Scholar
  2. 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 CrossRefPubMedPubMedCentralGoogle Scholar
  3. 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 CrossRefGoogle Scholar
  4. 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 CrossRefPubMedPubMedCentralGoogle Scholar
  5. Berry, N. S. (2010). Unsafe motherhood: Mayan maternal mortality and subjectivity in post-war Guatemala. New York, NY: Berghahn Books.Google Scholar
  6. 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 CrossRefPubMedGoogle Scholar
  7. 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 CrossRefPubMedGoogle Scholar
  8. 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 CrossRefPubMedPubMedCentralGoogle Scholar
  9. 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 CrossRefPubMedGoogle Scholar
  10. 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 CrossRefGoogle Scholar
  11. 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
  12. 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 CrossRefPubMedPubMedCentralGoogle Scholar
  13. Davis-Floyd, R. E. (2004). Birth as an American rite of passage: With a new preface. Oakland, California: University of California Press.CrossRefGoogle Scholar
  14. D’Gregorio, R. P. (2010). Obstetric violence: A new legal term introduced in Venezuela. International Journal of Gynecology & Obstetrics, 111(3), 201–202.CrossRefGoogle Scholar
  15. 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
  16. 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 CrossRefGoogle Scholar
  17. Fregoso, R. L., & Bejarano, C. L. (2010). Terrorizing women: Feminicide in the Americas. Durham, North Carolina: Duke University Press.Google Scholar
  18. 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 CrossRefPubMedGoogle Scholar
  19. 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
  20. 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.CrossRefPubMedGoogle Scholar
  21. 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 CrossRefPubMedPubMedCentralGoogle Scholar
  22. 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.CrossRefPubMedGoogle Scholar
  23. McCrea, H. (2011). Diseased relations: Epidemics, public health, and state-building in Yucatán, Mexico, 1847-1924. Albuquerque: University of New Mexico Press.Google Scholar
  24. 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.CrossRefGoogle Scholar
  25. 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.CrossRefGoogle Scholar
  26. 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 CrossRefPubMedGoogle Scholar
  27. OECD. (2005). OECD reviews of health systems: Mexico 2005. Paris: OECD Publishing.  https://doi.org/10.1787/9789264008939-en CrossRefGoogle Scholar
  28. Pan American Health Organization. (2012). Health in the Americas: Regional outlook and country profiles. Washington, DC: PAHO.Google Scholar
  29. 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
  30. 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 CrossRefGoogle Scholar
  31. 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
  32. 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 CrossRefGoogle Scholar
  33. Schneider, S. D. (2010). Mexican community health and the politics of health reform. Albuquerque, New Mexico: University of New Mexico Press.Google Scholar
  34. Secretaria de Salud. (2007). Programa Nacional de Salud 2007-2012. Mexico City: Secretaria de Salud, Mexico.Google Scholar
  35. Secretaría de Salud. (1995). Programa de salud reproductiva y planificación familiar 1995–2000. Mexico City: Secretaría de Salud, Mexico.Google Scholar
  36. 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.CrossRefPubMedGoogle Scholar
  37. 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
  38. 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 CrossRefGoogle Scholar
  39. 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
  40. 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

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of AnthropologyUniversity of TorontoTorontoCanada

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