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Titre du document / Document title

Traditional birth attendants in Mexico : Advantages and inadequacies of care for normal deliveries

Auteur(s) / Author(s)

CASTANEDA CAMEY X. (1) ; GARCIA BARRIOS C. (1) ; ROMERO GUERRERO X. (1) ; NUEZ-URQUIZA R. M. (1) ; GONAZLEZ HERNANDEZ D. (1) ; GLASS A. L. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) National Institute of Public Health (NIPH), Av. Univesidad 655, Cuernavaca 62058, Morelos, MEXIQUE

Résumé / Abstract

In Mexico, traditional birth attendants (TBAS) are an essential resource for health care, especially in small rural communities where they attend approximately 45% of all deliveries. Both rural and urban women seek care with the TBAs because, amongst other things, they share the same cultural codes. In this study, qualitative and quantitative methods were used to analyze the concepts, resources and process of care during birth in rural areas of the state of Morelos. Results show that the socio-economic characteristics of the TBAs are similar to those of the patients, that they share the same precarious living conditions, and the resources to which they have access for providing care during births. When choosing a TBA as a health care provider, both the economic aspect and the importance of a shared symbolism come into play. We observed advantages in some of the traditional practices which should be incorporated into the medical system, for example protection through the massage of the perineum at the moment of expulsion. Nevertheless, there are inadequacies for which the implementation of training programs is fundamental, before articulate primary care programs using the TBAs can be promoted.

Revue / Journal Title

Social science & medicine    ISSN  0277-9536   CODEN SSMDEP 

Source / Source

1996, vol. 43, no2, pp. 199-208 [9 page(s) (article)] (25 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, Kidlington, ROYAUME-UNI  (1982) (Revue)

Mots-clés anglais / English Keywords

Folk midwife

;

Folk medicine

;

Rural environment

;

Mexico

;

Socioeconomic status

;

Life habit

;

Use

;

Care

;

Perinatal

;

Professional practice

;

Human

;

Public health

;

Central America

;

America

;

Mots-clés français / French Keywords

Accoucheuse traditionnelle

;

Médecine traditionnelle

;

Milieu rural

;

Mexique

;

Statut socioéconomique

;

Mode de vie

;

Utilisation

;

Soin

;

Périnatal

;

Pratique professionnelle

;

Homme

;

Santé publique

;

Amérique Centrale

;

Amérique

;

Mots-clés espagnols / Spanish Keywords

Partera tradicional

;

Medicina tradicional

;

Medio rural

;

México

;

Estatuto socioeconómico

;

Modo de vida

;

Utilización

;

Cuidado

;

Perinatal

;

Practica profesional

;

Hombre

;

Salud pública

;

America central

;

America

;

Localisation / Location

INIST-CNRS, Cote INIST : 13689, 35400006038120.0060

Nº notice refdoc (ud4) : 3168883



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